DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Roman	DOIID	808337	NAIC NPN	16907542

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/19/2013	12/31/2014
Inactive	Non Resident	Agent	Casualty	4/19/2013	12/31/2014
* 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	Progressive Direct Insurance Company	301379	Agent - Casualty	4/24/2013	5/5/2014
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	4/24/2013	5/5/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Harley-Davidson Ins Services Inc	545855	Agent - Property	5/24/2013	5/5/2014
Inactive	Harley-Davidson Ins Services Inc	545855	Agent - Casualty	5/24/2013	5/5/2014
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	4/25/2013	5/5/2014
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	4/25/2013	5/5/2014