DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wordlaw-Burrell, Mihsah M	DOIID	672946	NAIC NPN	10137622

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	3/4/2016	9/7/2017
Inactive	Non Resident	Agent	Property	3/4/2016	9/7/2017
* 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	National General Insurance Company	300152	Agent - Casualty	7/12/2013	7/17/2013
Inactive	National General Insurance Company	300152	Agent - Property	7/12/2013	7/17/2013
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	2/14/2008	3/9/2010
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	2/14/2008	3/9/2010
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	3/16/2016	7/22/2016
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	3/16/2016	7/22/2016
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	3/16/2016	7/22/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	7/12/2013	7/17/2013
Inactive	National General Ins Marketing Inc	621228	Agent - Property	7/12/2013	7/17/2013
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	2/27/2008	3/9/2010
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	2/27/2008	3/9/2010