DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mejia, Annette	DOIID	635434	NAIC NPN	8751601

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	7/6/2006	10/31/2016
Inactive	Non Resident	Agent	Property	7/6/2006	10/31/2016
* 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	American Bankers Insurance Company of Florida	300360	Agent - Casualty	2/18/2011	7/31/2012
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	2/18/2011	7/31/2012
Inactive	American Security Insurance Company	300901	Agent - Casualty	9/25/2006	9/21/2007
Inactive	American Security Insurance Company	300901	Agent - Property	9/25/2006	9/21/2007
Inactive	NOVA Casualty Company	622806	Agent - Casualty	4/7/2014	10/31/2016
Inactive	NOVA Casualty Company	622806	Agent - Property	4/7/2014	10/31/2016
Inactive	Standard Guaranty Insurance Company	300902	Agent - Casualty	9/25/2006	9/21/2007
Inactive	Standard Guaranty Insurance Company	300902	Agent - Property	9/25/2006	9/21/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Britt Paulk Ins Agency Inc	613281	Agent - Property	5/7/2012	7/31/2012
Inactive	Britt Paulk Ins Agency Inc	613281	Agent - Casualty	5/7/2012	7/31/2012
Denied	Cit Insurance Agency Inc	556904	Agent - Property
Denied	Cit Insurance Agency Inc	556904	Agent - Casualty
Inactive	Safehold Special Risk, Inc	658217	Agent - Property	4/7/2014	11/18/2015
Inactive	Safehold Special Risk, Inc	658217	Agent - Casualty	4/7/2014	11/18/2015
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	5/5/2011	6/1/2012
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	5/5/2011	6/1/2012