DEPARTMENT OF INSURANCE

Affiliations

Name	Mizzelle, Jeremiah	DOIID	963675	NAIC NPN	18498954

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/14/2017	8/31/2025
Active	Non Resident	Agent	Property	8/14/2017	8/31/2025
* 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 Modern Home Insurance Company	300791	Agent - Casualty	11/15/2023	5/14/2024
Inactive	American Modern Home Insurance Company	300791	Agent - Property	11/15/2023	5/14/2024
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	10/24/2022	11/15/2022
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/24/2022	11/15/2022
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	11/1/2022	11/15/2022
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	11/1/2022	11/15/2022
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	11/1/2022	11/15/2022
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	11/1/2022	11/15/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/21/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/21/2023
Inactive	Government Employees Insurance Company	300376	Agent - Casualty	8/15/2017	6/30/2020
Inactive	Government Employees Insurance Company	300376	Agent - Property	8/15/2017	6/30/2020
Inactive	Homesite Insurance Company	301139	Agent - Casualty	5/3/2023	3/27/2024
Inactive	Homesite Insurance Company	301139	Agent - Property	5/3/2023	3/27/2024
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	5/3/2023	3/27/2024
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	5/3/2023	3/27/2024
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - Casualty	3/26/2018	1/14/2020
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - Property	3/26/2018	1/14/2020
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	1/27/2018	6/30/2020
Inactive	Liberty Insurance Corporation	300444	Agent - Property	1/27/2018	6/30/2020
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Casualty	4/30/2021	11/8/2021
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Property	4/30/2021	11/8/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Property	10/24/2022	11/14/2022
Inactive	Assurance IQ, LLC	919554	Agent - Casualty	10/24/2022	11/14/2022
Inactive	Geico Insurance Agency, LLC	558517	Agent - Property	8/18/2017	7/2/2020
Inactive	Geico Insurance Agency, LLC	558517	Agent - Casualty	8/18/2017	7/2/2020