DEPARTMENT OF INSURANCE

Affiliations

Name	Mozingo, Mark Whitley	DOIID	837019	NAIC NPN	17183087

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	7/8/2014	6/1/2017
Inactive	Resident	Agent	Health	3/27/2014	6/1/2017
Inactive	Resident	Agent	Life	3/27/2014	6/1/2017
Inactive	Resident	Agent	Property	7/8/2014	6/1/2017
Withdrawn	Resident	Agent	Travel
* 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 Fire and Casualty Company	300567	Agent - Casualty	8/20/2014	11/12/2015
Inactive	American Fire and Casualty Company	300567	Agent - Property	8/20/2014	11/12/2015
Inactive	Ansur America Insurance Company	520667	Agent - Casualty	7/28/2014	12/2/2015
Inactive	Ansur America Insurance Company	520667	Agent - Property	7/28/2014	12/2/2015
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	7/30/2014	11/17/2016
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	7/30/2014	11/17/2016
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	10/2/2014	6/1/2017
Inactive	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	10/2/2014	6/1/2017
Inactive	CSAA General Insurance Company	606675	Agent - Casualty	10/2/2014	6/1/2017
Inactive	CSAA General Insurance Company	606675	Agent - Property	10/2/2014	6/1/2017
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/20/2014	11/12/2015
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/20/2014	11/12/2015
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	1/13/2015	10/23/2015
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	1/13/2015	10/23/2015
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	1/13/2015	10/23/2015
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	1/13/2015	10/23/2015
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	1/13/2015	10/23/2015
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	1/13/2015	10/23/2015
Inactive	Frankenmuth Insurance Company	301481	Agent - Casualty	7/28/2014	12/2/2015
Inactive	Frankenmuth Insurance Company	301481	Agent - Property	7/28/2014	12/2/2015
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	12/23/2014	1/28/2016
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	12/23/2014	1/28/2016
Inactive	Grange Insurance Company	300234	Agent - Casualty	12/23/2014	1/28/2016
Inactive	Grange Insurance Company	300234	Agent - Property	12/23/2014	1/28/2016
Inactive	Grange Life Insurance Company	300128	Agent - Life	12/23/2014	1/28/2016
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	12/23/2014	1/28/2016
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	12/23/2014	1/28/2016
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	2/3/2015	6/1/2017
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	2/3/2015	6/1/2017
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/20/2014	11/12/2015
Inactive	Indiana Insurance Company	301909	Agent - Property	8/20/2014	11/12/2015
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	1/13/2015	10/23/2015
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	1/13/2015	10/23/2015
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	8/14/2014	6/1/2017
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	8/14/2014	6/1/2017
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/20/2014	11/12/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/20/2014	11/12/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/20/2014	11/12/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	8/20/2014	11/12/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	8/20/2014	11/12/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Property	8/20/2014	11/12/2015
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	8/20/2014	11/12/2015
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	8/20/2014	11/12/2015
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/20/2014	11/12/2015
Inactive	Peerless Insurance Company	301910	Agent - Property	8/20/2014	11/12/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/28/2014	6/1/2017
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	7/28/2014	6/1/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/6/2014	11/12/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/6/2014	11/12/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/6/2014	11/12/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/6/2014	11/12/2015
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	12/23/2014	1/28/2016
Inactive	Trustgard Insurance Company	300104	Agent - Property	12/23/2014	1/28/2016
Inactive	West American Insurance Company	301112	Agent - Casualty	8/20/2014	11/12/2015
Inactive	West American Insurance Company	301112	Agent - Property	8/20/2014	11/12/2015
Inactive	West Bend Insurance Company	672974	Agent - Casualty	8/15/2014	12/1/2016
Inactive	West Bend Insurance Company	672974	Agent - Property	8/15/2014	12/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Energy Ins Agency Inc	398833	Agent - Life	3/11/2015	11/17/2016
Inactive	Energy Ins Agency Inc	398833	Agent - Health	3/11/2015	11/17/2016
Inactive	Energy Ins Agency Inc	398833	Agent - Casualty	3/11/2015	6/1/2017
Inactive	Energy Ins Agency Inc	398833	Agent - Property	3/11/2015	6/1/2017
Inactive	Winchester Insurance Agency, Inc.	399223	Agent - Life	7/30/2014	11/17/2016
Inactive	Winchester Insurance Agency, Inc.	399223	Agent - Health	7/30/2014	11/17/2016
Inactive	Winchester Insurance Agency, Inc.	399223	Agent - Casualty	7/28/2014	6/1/2017
Inactive	Winchester Insurance Agency, Inc.	399223	Agent - Property	7/28/2014	6/1/2017