DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mitilier, Jared Jay	DOIID	634563	NAIC NPN	3275050

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/29/2017		1/31/2025
Active	Non Resident	Agent	Property	8/29/2017		1/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	9/9/2021		1/31/2025
* 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	11/15/2024	01/31/2025
Surplus Lines Broker	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Starr Indemnity and Liability Company	301685	Agent - Casualty	12/11/2019	4/24/2020
Inactive	Starr Indemnity and Liability Company	301685	Agent - Property	12/11/2019	4/24/2020
Active	United States Fire Insurance Company	582240	Agent - Casualty	1/23/2023
Active	United States Fire Insurance Company	582240	Agent - Property	1/23/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Alliant Insurance Services, Inc.	551378	Agent - Property
Denied	Alliant Insurance Services, Inc.	551378	Agent - Casualty
Inactive	Alliant Insurance Services, Inc.	551378	Surplus Lines Broker - Not Applicable	8/6/2008	5/26/2009
Active	Brokkrr Insurance Services LLC	1189555	Agent - Property	8/18/2022
Active	Brokkrr Insurance Services LLC	1189555	Agent - Casualty	8/18/2022
Active	Brokkrr Insurance Services LLC	1189555	Surplus Lines Broker - Not Applicable	2/22/2022
Denied	Industria Risk & Insurance Services LLC	987150	Agent - Property
Denied	Industria Risk & Insurance Services LLC	987150	Agent - Casualty
Inactive	Industria Risk & Insurance Services LLC	987150	Surplus Lines Broker - Not Applicable	3/13/2018	1/16/2020
Inactive	Ingenium Specialty Programs, LLC	1040664	Agent - Property	5/20/2019	8/20/2019
Inactive	Ingenium Specialty Programs, LLC	1040664	Agent - Casualty	5/20/2019	8/20/2019