DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Mona L	DOIID	376635	NAIC NPN	7203136

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	8/15/2000	11/1/2018
Inactive	Resident	Agent	Casualty	8/15/2000	11/1/2018
Inactive	Resident	Agent	General Lines	4/14/1988	8/15/2000
Inactive	Resident	Agent	Health	8/15/2000	11/1/2018
Inactive	Resident	Agent	Life	8/15/2000	11/1/2018
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - General Lines	4/26/1994	8/11/1999
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - General Lines	4/26/1994	8/11/1999
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - General Lines	4/26/1994	8/11/1999
Inactive	American Economy Insurance Company	300315	Agent - Casualty	8/15/2000	4/18/2008
Inactive	American Economy Insurance Company	300315	Agent - General Lines	11/1/1998	8/15/2000
Inactive	American Economy Insurance Company	300315	Agent - Property	8/15/2000	4/18/2008
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	4/18/2008
Inactive	American States Insurance Company	301230	Agent - General Lines	11/1/1998	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	4/18/2008
Inactive	American States Life Insurance Company	301884	Agent - Health	4/30/2001	12/6/2004
Inactive	American States Life Insurance Company	301884	Agent - Life	4/30/2001	12/6/2004
Inactive	American States Preferred Insurance Company	300609	Agent - General Lines	2/14/1994	4/27/1998
Inactive	Bankers Standard Insurance Company	301620	Agent - General Lines	3/20/1995	8/11/1999
Inactive	Century Indemnity Company	301310	Agent - General Lines	4/26/1994	3/31/1998
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	8/15/2000	9/3/2002
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	7/8/1998	8/15/2000
Inactive	Continental Insurance Company (The)	301242	Agent - Property	8/15/2000	9/3/2002
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Casualty	8/15/2000	11/22/2004
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - General Lines	2/22/1994	8/15/2000
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Property	8/15/2000	11/22/2004
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	5/19/2011	11/21/2018
Inactive	Encompass Indemnity Company	546376	Agent - Property	5/19/2011	11/21/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	1/26/2004	11/21/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	1/26/2004	11/21/2018
Inactive	Federal Insurance Company	301144	Agent - General Lines	3/7/1994	3/31/1996
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	9/19/2006	8/22/2013
Inactive	Fireman's Fund Insurance Company	301423	Agent - General Lines	3/2/1994	3/31/1996
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	9/19/2006	8/22/2013
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/15/2000	4/18/2008
Inactive	First National Insurance Company of America	301690	Agent - General Lines	8/7/1995	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	8/15/2000	4/18/2008
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/15/2000	4/18/2008
Inactive	General Insurance Company of America	300261	Agent - General Lines	8/7/1995	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	8/15/2000	4/18/2008
Inactive	Generali - U.S. Branch	301128	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Generali - U.S. Branch	301128	Agent - General Lines	3/30/1992	8/15/2000
Inactive	Generali - U.S. Branch	301128	Agent - Property	8/15/2000	3/31/2002
Inactive	Great Northern Insurance Company	301107	Agent - General Lines	3/7/1994	3/31/1996
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	8/8/1994	10/5/1999
Inactive	Indemnity Insurance Company of North America	301760	Agent - General Lines	4/26/1994	8/11/1999
Inactive	Insurance Company of North America	300226	Agent - General Lines	4/26/1994	8/11/1999
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Health	11/29/1993	4/9/2001
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	11/29/1993	4/9/2001
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - Casualty	4/8/2003	12/16/2004
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - Property	4/8/2003	12/16/2004
Inactive	Lamorak Insurance Company	301231	Agent - Casualty	8/15/2000	11/22/2004
Inactive	Lamorak Insurance Company	301231	Agent - General Lines	2/22/1994	8/15/2000
Inactive	Lamorak Insurance Company	301231	Agent - Property	8/15/2000	11/22/2004
Inactive	Meridian Mutual Insurance Company	301303	Agent - General Lines	6/2/1988	3/31/1996
Inactive	National Surety Corporation	300087	Agent - General Lines	3/2/1994	3/31/1996
Inactive	Northern Assurance Company of America The	301331	Agent - Casualty	8/15/2000	4/28/2005
Inactive	Northern Assurance Company of America The	301331	Agent - General Lines	2/22/1994	8/15/2000
Inactive	Northern Assurance Company of America The	301331	Agent - Property	8/15/2000	4/28/2005
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	8/15/2000	6/23/2003
Inactive	Ohio Farmers Insurance Company	301667	Agent - General Lines	6/22/1998	8/15/2000
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	8/15/2000	6/23/2003
Inactive	Pacific Employers Insurance Company	301753	Agent - General Lines	4/26/1994	8/11/1999
Inactive	Pacific Indemnity Company	301610	Agent - General Lines	3/7/1994	3/31/1996
Inactive	Pennsylvania Insurance Company	301219	Agent - General Lines	7/14/1989	3/31/1998
Inactive	Pie Insurance Company (The)	300514	Agent - General Lines	3/2/1994	3/31/1996
Inactive	Principal Life Insurance Company	300129	Agent - Health	11/29/2006	12/8/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	11/29/2006	12/8/2008
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2000	4/18/2008
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	8/7/1995	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2000	4/18/2008
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	9/15/2000	4/18/2008
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	8/7/1995	8/15/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/15/2000	4/18/2008
Inactive	SAFECO National Insurance Company	300989	Agent - Casualty	8/15/2000	12/4/2004
Inactive	SAFECO National Insurance Company	300989	Agent - General Lines	8/7/1995	8/15/2000
Inactive	SAFECO National Insurance Company	300989	Agent - Property	8/15/2000	12/4/2004
Inactive	SPARTA Insurance Company	301523	Agent - Casualty	8/15/2000	11/30/2004
Inactive	SPARTA Insurance Company	301523	Agent - General Lines	2/22/1994	8/15/2000
Inactive	SPARTA Insurance Company	301523	Agent - Property	8/15/2000	11/30/2004
Inactive	South Carolina Insurance Company	300080	Agent - General Lines	10/7/1998	6/5/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	9/14/2010	1/31/2018
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	9/14/2010	1/31/2018
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	2/17/1994	12/1/1997
Inactive	Symetra Life Insurance Company	301691	Agent - Health	2/7/2011	11/1/2018
Inactive	Symetra Life Insurance Company	301691	Agent - Life	2/7/2011	11/1/2018
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	6/19/2009	11/1/2018
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	6/19/2009	11/1/2018
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/16/2012	1/31/2018
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/16/2012	1/31/2018
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	8/15/2000	4/22/2002
Inactive	United States Fidelity and Guaranty Company	301449	Agent - General Lines	3/13/1992	8/15/2000
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	8/15/2000	4/22/2002
Inactive	Vigilant Insurance Company	301143	Agent - General Lines	3/7/1994	3/31/1996
Inactive	WCF Select Insurance Company	301898	Agent - General Lines	3/2/1994	3/31/1996
Inactive	Westfield Insurance Company	301950	Agent - Casualty	8/15/2000	6/23/2003
Inactive	Westfield Insurance Company	301950	Agent - General Lines	6/22/1998	8/15/2000
Inactive	Westfield Insurance Company	301950	Agent - Property	8/15/2000	2/9/2004
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	8/15/2000	6/23/2003
Inactive	Westfield National Insurance Company	301036	Agent - General Lines	6/22/1998	8/15/2000
Inactive	Westfield National Insurance Company	301036	Agent - Property	8/15/2000	6/23/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Andy Anderson Insurance Agency Inc.	398249	Agent - General Lines	4/14/1988	8/15/2000
Inactive	Andy Anderson Insurance Agency Inc.	398249	Agent - Life	4/14/1988	5/31/2004
Inactive	Andy Anderson Insurance Agency Inc.	398249	Agent - Health	4/14/1988	5/31/2004
Inactive	Andy Anderson Insurance Agency Inc.	398249	Agent - Property	8/15/2000	5/31/2004
Inactive	Andy Anderson Insurance Agency Inc.	398249	Agent - Casualty	8/15/2000	5/31/2004
Inactive	Charles Taylor Tpa, LLC	401233	Agent - General Lines	3/1/1996	8/15/2000
Inactive	Charles Taylor Tpa, LLC	401233	Agent - Life	1/26/2007	12/8/2008
Inactive	Charles Taylor Tpa, LLC	401233	Agent - Health	1/26/2007	12/8/2008
Inactive	Charles Taylor Tpa, LLC	401233	Agent - Property	8/15/2000	4/10/2018
Inactive	Charles Taylor Tpa, LLC	401233	Agent - Casualty	8/15/2000	4/10/2018
Inactive	TEBA, Inc.	400866	Agent - General Lines	12/31/1999	8/15/2000
Inactive	TEBA, Inc.	400866	Agent - Property	8/15/2000	2/14/2007
Inactive	TEBA, Inc.	400866	Agent - Casualty	4/21/2003	2/14/2007
Inactive	The Underwriters Group, Inc	674720	Agent - Life	6/22/2009	2/6/2018
Inactive	The Underwriters Group, Inc	674720	Agent - Health	6/22/2009	2/6/2018
Inactive	The Underwriters Group, Inc	674720	Agent - Property	3/3/2008	2/6/2018
Inactive	The Underwriters Group, Inc	674720	Agent - Casualty	3/3/2008	2/6/2018