DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Lori M	DOIID	359151	NAIC NPN	7195531

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	12/8/1994		7/31/2026
Active	Resident	Agent	Health	12/8/1994		7/31/2026
Active	Resident	Agent	Casualty	8/15/2000		7/31/2026
Active	Resident	Agent	Property	8/15/2000		7/31/2026
Inactive	Resident	Agent	General Lines	8/2/2000	8/15/2000
Inactive	Resident	Solicitor	General Lines	9/13/1991	7/14/2000
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2024	07/31/2024	07/01/2024	07/01/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Assurance Company	300897	Agent - Casualty	4/27/2004	10/2/2010
Inactive	AIG Assurance Company	300897	Agent - Property	4/27/2004	10/2/2010
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	8/28/2019	11/2/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	8/28/2019	11/2/2022
Active	Allstate Indemnity Company	300778	Agent - Casualty	9/1/2009
Active	Allstate Indemnity Company	300778	Agent - Property	9/1/2009
Active	Allstate Insurance Company	300773	Agent - Casualty	9/1/2009
Active	Allstate Insurance Company	300773	Agent - Property	9/1/2009
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	9/1/2009
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Property	9/1/2009
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	2/18/2014
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	2/18/2014
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	9/2/2015	11/14/2021
Inactive	American Family Home Insurance Company	301817	Agent - Property	9/2/2015	11/14/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/7/2018	11/12/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/7/2018	11/12/2020
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/6/2015	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/6/2015	11/14/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	3/17/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	3/17/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	8/6/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/6/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/2/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/2/2015	11/14/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	9/11/1996
Active	Anthem Life Insurance Company	301209	Agent - Life	9/11/1996
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	11/29/2007	6/1/2023
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	11/29/2007	6/1/2023
Active	Auto-Owners Life Insurance Company	301368	Agent - Health	2/23/1999
Active	Auto-Owners Life Insurance Company	301368	Agent - Life	2/23/1999
Active	Bristol West Insurance Company	301655	Agent - Casualty	5/8/2007
Active	Bristol West Insurance Company	301655	Agent - Property	5/8/2007
Active	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	11/14/2005
Active	Celina Mutual Insurance Company (The)	301908	Agent - Property	11/14/2005
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	1/15/1996	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	1/15/1996	3/31/1997
Active	Dairyland Insurance Company	301370	Agent - Casualty	6/1/2010
Active	Dairyland Insurance Company	301370	Agent - Property	6/1/2010
Active	Everlake Life Insurance Company	300873	Agent - Health	2/3/2005
Active	Everlake Life Insurance Company	300873	Agent - Life	2/3/2005
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	5/19/2005	8/22/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	5/19/2005	8/22/2012
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/15/2003
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/15/2003
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/7/2020	12/13/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/7/2020	12/14/2022
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	12/22/2016
Active	Grange Indemnity Insurance Company	300793	Agent - Property	12/22/2016
Active	Grange Insurance Company	300234	Agent - Casualty	8/15/2000
Inactive	Grange Insurance Company	300234	Agent - General Lines	8/2/2000	8/15/2000
Active	Grange Insurance Company	300234	Agent - Property	8/15/2000
Inactive	Grange Life Insurance Company	300128	Agent - Health	12/8/1994	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	12/8/1994	12/28/2020
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	2/7/2008
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	2/7/2008
Inactive	Granite State Insurance Company	300818	Agent - Casualty	6/29/2005	10/2/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	6/29/2005	10/2/2010
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/8/2007	10/2/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/8/2007	10/2/2010
Active	Kansas City Life Insurance Company	301444	Agent - Life	5/1/2019
Active	Kentucky Home Life Insurance Company	300477	Agent - Health	6/24/2020
Active	Kentucky Home Life Insurance Company	300477	Agent - Life	6/24/2020
Active	Kentucky National Insurance Company	301625	Agent - Casualty	10/22/2007
Active	Kentucky National Insurance Company	301625	Agent - Property	10/22/2007
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	1/28/1998	1/30/2009
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	1/28/1998	1/30/2009
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/23/2012	6/24/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	5/25/2012	6/24/2013
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	1/10/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	1/10/2011
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/30/2007	8/30/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/30/2007	8/30/2012
Active	Trustgard Insurance Company	300104	Agent - Casualty	12/22/2016
Active	Trustgard Insurance Company	300104	Agent - Property	12/22/2016
Inactive	United Home Insurance Company	736677	Agent - Casualty	10/26/2017	9/18/2023
Inactive	United Home Insurance Company	736677	Agent - Property	10/26/2017	9/18/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/23/2012	6/24/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/23/2012	6/24/2013
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	4/29/2011	6/22/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	4/29/2011	6/22/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/25/1996	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	6/23/2008
Active	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013
Active	Rex Parker Insurance Agency, LLC	548789	Agent - Life	4/29/2002
Active	Rex Parker Insurance Agency, LLC	548789	Agent - Health	4/29/2002
Active	Rex Parker Insurance Agency, LLC	548789	Agent - Property	4/29/2002
Active	Rex Parker Insurance Agency, LLC	548789	Agent - Casualty	4/29/2002