DEPARTMENT OF INSURANCE
Affiliations
NameMellema, Philip DOIID1276803NAIC NPN20717386
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentPersonal Lines5/26/2023 11/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent09/15/202411/30/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBristol West Insurance Company301655Agent - Personal Lines6/1/20237/6/2023
InactiveFarmers Insurance Exchange300336Agent - Personal Lines6/1/20237/6/2023
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFx Insurance Agency, LLC646184Agent - Personal Lines6/1/20237/6/2023

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