DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mickelson, John	DOIID	669121	NAIC NPN	9339287

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/6/2017	3/31/2023
Inactive	Non Resident	Agent	Personal Lines	11/27/2007	4/6/2010
Inactive	Non Resident	Agent	Life	11/6/2017	3/31/2023
* 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	Continental American Insurance Company	301700	Agent - Health	1/4/2018	3/31/2023
Inactive	Continental American Insurance Company	301700	Agent - Life	1/4/2018	3/31/2023
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Personal Lines	7/7/2008	11/12/2009
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Personal Lines	7/7/2008	11/12/2009
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Personal Lines	1/15/2009	4/6/2010
Inactive	LM General Insurance Company	300133	Agent - Personal Lines	3/19/2010	4/6/2010
Inactive	LM Insurance Corporation	301061	Agent - Personal Lines	1/15/2009	4/6/2010
Inactive	Liberty Insurance Corporation	300444	Agent - Personal Lines	1/15/2009	4/6/2010
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Personal Lines	1/15/2009	4/6/2010
Inactive	Liberty Mutual Insurance Company	301159	Agent - Personal Lines	1/15/2009	4/6/2010
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Personal Lines	1/13/2009	4/1/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Health	1/28/2019	3/31/2023
Inactive	Mercer Health & Benefits Administration Llc	656414	Agent - Life	1/28/2019	3/31/2023
Denied	Seabury & Smith Inc	394854	Agent - Personal Lines