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	Casualty	9/12/2014	11/30/2026
Active	Non Resident	Agent	Property	9/12/2014	11/30/2026
Active	Non Resident	Agent	Health	9/12/2014	11/30/2026
Active	Non Resident	Agent	Life	9/12/2014	11/30/2026
* 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 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
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/25/2017	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/25/2017	12/16/2024
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	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	8/29/2017	2/10/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/29/2017	2/10/2025
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