PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NamePetree, Mitchell EdwardDOIID1223786NAIC NPN18758996
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth7/16/2024 2/28/2026
ActiveNon ResidentAgentCasualty7/16/2024 2/28/2026
ActiveNon ResidentAgentLife7/16/2024 2/28/2026
ActiveNon ResidentAgentProperty7/16/2024 2/28/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmGUARD Insurance Company500010Agent - Casualty8/29/20222/29/2024
InactiveAmGUARD Insurance Company500010Agent - Property8/29/20222/29/2024
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health7/23/2024 
InactiveNorGUARD Insurance Company500015Agent - Casualty8/29/20222/29/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveRocky Mountain West Insurance LLC1128326Agent - Casualty8/29/20222/29/2024
InactiveRocky Mountain West Insurance LLC1128326Agent - Property8/29/20222/29/2024

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