DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Michael A	DOIID	965051	NAIC NPN	10176771

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	8/24/2017	4/30/2026
Active	Non Resident	Agent	Casualty	8/24/2017	4/30/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/22/2018	4/30/2026
* 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	02/15/2026	04/30/2026
Surplus Lines Broker	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AGCS Marine Insurance Company	300403	Agent - Casualty	9/11/2017
Active	AGCS Marine Insurance Company	300403	Agent - Property	9/11/2017
Active	AIG Property Casualty Company	300621	Agent - Casualty	10/16/2018
Active	AIG Property Casualty Company	300621	Agent - Property	10/16/2018
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	2/23/2026
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	2/23/2026
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	2/23/2026
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	2/23/2026
Inactive	Hallmark Insurance Company	301637	Agent - Casualty	7/30/2019	11/15/2023
Inactive	Hallmark Insurance Company	301637	Agent - Property	7/30/2019	11/15/2023
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	2/23/2026
Active	Hanover American Insurance Company (The)	300447	Agent - Property	2/23/2026
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	2/23/2026
Active	Hanover Insurance Company (The)	300508	Agent - Property	2/23/2026
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	10/16/2018
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	10/16/2018
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	2/23/2026
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	2/23/2026
Active	National Indemnity Company	301929	Agent - Casualty	11/1/2023
Active	National Indemnity Company	301929	Agent - Property	11/1/2023
Active	National Liability & Fire Insurance Company	300213	Agent - Casualty	11/1/2023
Active	National Liability & Fire Insurance Company	300213	Agent - Property	11/1/2023
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	10/16/2018
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	10/16/2018
Active	New Hampshire Insurance Company	301670	Agent - Casualty	10/16/2018
Active	New Hampshire Insurance Company	301670	Agent - Property	10/16/2018
Active	Verlan Fire Insurance Company	517102	Agent - Casualty	2/23/2026
Active	Verlan Fire Insurance Company	517102	Agent - Property	2/23/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Risk Placement Services Inc	509419	Agent - Property	4/18/2024
Active	Risk Placement Services Inc	509419	Agent - Casualty	4/18/2024
Active	Risk Placement Services Inc	509419	Surplus Lines Broker - Not Applicable	4/18/2024