DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchem, David L	DOIID	954575	NAIC NPN	1925737

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	5/17/2017	6/30/2027
Active	Non Resident	Agent	Casualty	5/17/2017	6/30/2027
* 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	04/15/2025	06/30/2025	05/22/2025	05/22/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	11/27/2023
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	11/27/2023
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	11/27/2023
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	11/27/2023
Active	Cincinnati Insurance Company	301298	Agent - Casualty	11/27/2023
Active	Cincinnati Insurance Company	301298	Agent - Property	11/27/2023
Active	EMC Property & Casualty Company	955217	Agent - Casualty	5/17/2021
Active	EMC Property & Casualty Company	955217	Agent - Property	5/17/2021
Active	EMCASCO Insurance Company	842790	Agent - Casualty	10/7/2019
Active	EMCASCO Insurance Company	842790	Agent - Property	10/7/2019
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	4/28/2021
Active	Employers Insurance Company of Wausau	301813	Agent - Property	4/28/2021
Active	Employers Mutual Casualty Company	300202	Agent - Casualty	10/7/2019
Active	Employers Mutual Casualty Company	300202	Agent - Property	10/7/2019
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	4/28/2021
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	4/28/2021
Active	LM Insurance Corporation	301061	Agent - Casualty	4/28/2021
Active	LM Insurance Corporation	301061	Agent - Property	4/28/2021
Active	Liberty Insurance Corporation	300444	Agent - Casualty	4/28/2021
Active	Liberty Insurance Corporation	300444	Agent - Property	4/28/2021
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	4/28/2021
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	4/28/2021
Active	MICO Insurance Company	301664	Agent - Casualty	8/10/2023
Active	MICO Insurance Company	301664	Agent - Property	8/10/2023
Active	Middlesex Insurance Company	590568	Agent - Casualty	4/3/2025
Active	Middlesex Insurance Company	590568	Agent - Property	4/3/2025
Active	Milbank Insurance Company	925185	Agent - Casualty	10/7/2020
Active	Milbank Insurance Company	925185	Agent - Property	10/7/2020
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	8/1/2019
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	8/1/2019
Active	Motorists Mutual Insurance Company	300963	Agent - Casualty	7/10/2023
Active	Motorists Mutual Insurance Company	300963	Agent - Property	7/10/2023
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Active	RLI Insurance Company	301217	Agent - Casualty	8/29/2019
Active	RLI Insurance Company	301217	Agent - Property	8/29/2019
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	11/24/2020
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	11/24/2020
Active	Sentry Insurance Company	300222	Agent - Casualty	4/3/2025
Active	Sentry Insurance Company	300222	Agent - Property	4/3/2025
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	8/25/2020
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	8/25/2020
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	12/3/2021
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	12/3/2021
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	4/5/2019
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	4/5/2019
Active	West Bend Insurance Company	672974	Agent - Casualty	2/28/2025
Active	West Bend Insurance Company	672974	Agent - Property	2/28/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Peoples Insurance Agency LLC	517977	Agent - Property	6/5/2025
Active	Peoples Insurance Agency LLC	517977	Agent - Casualty	6/5/2025