DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mesenbrink, Michael James	DOIID	894277	NAIC NPN	2664228

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/8/2015		7/31/2026
Active	Non Resident	Agent	Property	10/8/2015		7/31/2026
* 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	05/15/2024	07/31/2024	07/02/2024	07/02/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	3/2/2020
Active	Liberty Mutual Insurance Company	301159	Agent - Property	3/2/2020
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	3/2/2020
Active	Ohio Casualty Insurance Company	301492	Agent - Property	3/2/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Crest Insurance Group LLC	730185	Agent - Property	8/6/2020
Active	Crest Insurance Group LLC	730185	Agent - Casualty	8/6/2020