DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Nelson, Mitchell Dean	DOIID	983737	NAIC NPN	8277085

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/6/2018		6/30/2026
Active	Non Resident	Agent	Health	2/6/2018		6/30/2026
* 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	04/15/2024	06/30/2024	05/07/2024	05/07/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Life Insurance Company	301585	Agent - Health	6/2/2021	6/8/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	6/2/2021	6/8/2022
Active	Principal Life Insurance Company	300129	Agent - Health	12/27/2018
Active	Principal Life Insurance Company	300129	Agent - Life	12/27/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Secura Brokerage Insurance Solutions	1017465	Agent - Life	1/7/2019	7/10/2019
Inactive	Secura Brokerage Insurance Solutions	1017465	Agent - Health	1/7/2019	7/10/2019