DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Robb W	DOIID	851649	NAIC NPN	2516087

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	9/12/2014	11/30/2024
Active	Non Resident	Agent	Casualty	9/12/2014	11/30/2024
Active	Non Resident	Agent	Health	9/12/2014	11/30/2024
Active	Non Resident	Agent	Property	9/12/2014	11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Commerce Insurance Company	301665	Agent - Casualty	12/11/2015	3/31/2018
Inactive	American Commerce Insurance Company	301665	Agent - Property	12/11/2015	3/31/2018
Active	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/8/2019
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	11/22/2021
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	11/22/2021
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	6/12/2015	10/15/2021
Inactive	American Fire and Casualty Company	300567	Agent - Property	6/12/2015	10/15/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	8/25/2017
Active	Anthem Life Insurance Company	301209	Agent - Life	8/25/2017
Active	Bristol West Insurance Company	301655	Agent - Casualty	11/24/2015
Active	Bristol West Insurance Company	301655	Agent - Property	11/24/2015
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	6/12/2015	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	6/12/2015	10/13/2022
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	9/28/2015	9/6/2017
Inactive	Dairyland Insurance Company	301370	Agent - Property	9/28/2015	9/6/2017
Active	Erie Family Life Insurance Company	301400	Agent - Health	9/30/2021
Active	Erie Family Life Insurance Company	301400	Agent - Life	5/6/2015
Active	Erie Insurance Company	300230	Agent - Casualty	5/6/2015
Active	Erie Insurance Company	300230	Agent - Property	5/6/2015
Active	Erie Insurance Company of New York	789916	Agent - Casualty	9/23/2015
Active	Erie Insurance Company of New York	789916	Agent - Property	9/23/2015
Active	Erie Insurance Exchange	300789	Agent - Casualty	5/6/2015
Active	Erie Insurance Exchange	300789	Agent - Property	5/6/2015
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	9/23/2015
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	9/23/2015
Active	Flagship City Insurance Company	789965	Agent - Casualty	9/23/2015
Active	Flagship City Insurance Company	789965	Agent - Property	9/23/2015
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/24/2015
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/24/2015
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	10/31/2014
Active	Grange Indemnity Insurance Company	300793	Agent - Property	10/31/2014
Active	Grange Insurance Company	300234	Agent - Casualty	10/31/2014
Active	Grange Insurance Company	300234	Agent - Property	10/31/2014
Inactive	Grange Life Insurance Company	300128	Agent - Health	10/31/2014	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	10/31/2014	12/30/2020
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	10/31/2014
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	10/31/2014
Inactive	Indiana Insurance Company	301909	Agent - Casualty	6/12/2015	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	6/12/2015	2/3/2023
Active	Kansas City Life Insurance Company	301444	Agent - Health	5/8/2019
Active	Kansas City Life Insurance Company	301444	Agent - Life	5/8/2019
Active	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	10/9/2015
Active	Mount Vernon Fire Insurance Company	301397	Agent - Property	10/9/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	6/12/2015	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	6/12/2015	4/26/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	6/12/2015
Active	Ohio Casualty Insurance Company	301492	Agent - Property	6/12/2015
Active	Ohio Security Insurance Company	300622	Agent - Casualty	6/12/2015
Active	Ohio Security Insurance Company	300622	Agent - Property	6/12/2015
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	6/12/2015
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	6/12/2015
Active	Peerless Insurance Company	301910	Agent - Casualty	6/12/2015
Active	Peerless Insurance Company	301910	Agent - Property	6/12/2015
Inactive	Pruco Life Insurance Company	300954	Agent - Life	1/14/2022	12/21/2022
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	6/19/2015
Active	SAFECO Insurance Company of America	300159	Agent - Property	6/19/2015
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/19/2015
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	6/19/2015
Active	Trustgard Insurance Company	300104	Agent - Casualty	10/31/2014
Active	Trustgard Insurance Company	300104	Agent - Property	10/31/2014
Inactive	Utica Mutual Insurance Company	301933	Agent - Casualty	6/6/2016	11/28/2023
Inactive	Utica Mutual Insurance Company	301933	Agent - Property	6/6/2016	11/28/2023
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	10/12/2015	9/14/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	10/12/2015	9/14/2017
Active	West American Insurance Company	301112	Agent - Casualty	6/12/2015
Active	West American Insurance Company	301112	Agent - Property	6/12/2015
Active	West Bend Insurance Company	672974	Agent - Casualty	9/22/2017
Active	West Bend Insurance Company	672974	Agent - Property	9/22/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Designated Agent Company Inc.	681257	Agent - Life	8/29/2017
Active	Designated Agent Company Inc.	681257	Agent - Health	8/29/2017
Active	Mitchell Ins Agcy Inc	852048	Agent - Life	9/15/2014
Active	Mitchell Ins Agcy Inc	852048	Agent - Property	9/15/2014
Active	Mitchell Ins Agcy Inc	852048	Agent - Health	9/15/2014
Active	Mitchell Ins Agcy Inc	852048	Agent - Casualty	9/15/2014