DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mellen III, Henry Levi	DOIID	617682	NAIC NPN	5824160

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/12/2005	6/30/2018
Inactive	Non Resident	Agent	Casualty	10/12/2005	6/30/2018
* 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	Liberty Mutual Insurance Company	301159	Agent - Casualty	9/10/2015	6/30/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	PNC Insurance Agency, Inc.	595561	Agent - Casualty
Denied	PNC Insurance Agency, Inc.	595561	Agent - Property