DEPARTMENT OF INSURANCE

Affiliations

Name	Dobelstein, Mitzi Jacqueline	DOIID	759708	NAIC NPN	16324685

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	12/13/2022	9/30/2024
Active	Resident	Agent	Casualty	12/13/2022	9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	8/13/2018	10/26/2018
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	8/13/2018	10/26/2018
Inactive	Ansur America Insurance Company	520667	Agent - Casualty	3/2/2012	11/20/2014
Inactive	Ansur America Insurance Company	520667	Agent - Property	3/2/2012	11/20/2014
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	8/9/2018	9/26/2018
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	8/9/2018	9/26/2018
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	9/23/2011	10/20/2014
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	9/23/2011	10/20/2014
Inactive	Farmington Casualty Company	301137	Agent - Casualty	1/14/2019	8/18/2020
Inactive	Farmington Casualty Company	301137	Agent - Property	1/14/2019	8/18/2020
Inactive	Frankenmuth Insurance Company	301481	Agent - Casualty	3/2/2012	11/20/2014
Inactive	Frankenmuth Insurance Company	301481	Agent - Property	3/2/2012	11/20/2014
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	9/23/2011	10/20/2014
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	9/23/2011	10/20/2014
Inactive	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	8/21/2014	4/20/2017
Inactive	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	8/21/2014	4/20/2017
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	8/17/2018	10/23/2018
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	8/17/2018	10/23/2018
Inactive	Owners Insurance Company	300796	Agent - Casualty	8/9/2018	9/26/2018
Inactive	Owners Insurance Company	300796	Agent - Property	8/9/2018	9/26/2018
Inactive	Westfield Insurance Company	301950	Agent - Casualty	10/4/2011	9/23/2015
Inactive	Westfield Insurance Company	301950	Agent - Property	10/4/2011	9/23/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Garrett-Stotz Co	400616	Agent - Casualty	8/2/2012	10/14/2014
Inactive	Garrett-Stotz Co	400616	Agent - Property	8/2/2012	10/14/2014
Inactive	Logan Lavelle Hunt Ins Agency LLC	398963	Agent - Casualty	8/9/2018	8/30/2018
Inactive	Logan Lavelle Hunt Ins Agency LLC	398963	Agent - Property	8/9/2018	8/30/2018
Inactive	Shepherd Insurance, LLC	774397	Agent - Casualty	8/9/2018	9/20/2018
Inactive	Shepherd Insurance, LLC	774397	Agent - Property	8/9/2018	9/20/2018
Inactive	The Underwriters Group, Inc	674720	Agent - Casualty	3/29/2017	4/20/2017
Inactive	The Underwriters Group, Inc	674720	Agent - Property	3/29/2017	4/20/2017
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	1/14/2019	1/22/2020
Inactive	Usi Insurance Services LLC	669260	Agent - Property	1/14/2019	1/22/2020