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DEPARTMENT OF INSURANCE
Licensee Search Details
Name
Mid Mountain Insurance Agency, LLC
DOIID
650001
NAIC NPN
1916108
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Designated Home State
Active
Non Resident
Agent
Life
3/5/2007
3/31/2027
Active
Non Resident
Agent
Property
2/7/2025
3/31/2027
Active
Non Resident
Agent
Casualty
2/7/2025
3/31/2027
Active
Non Resident
Agent
Health
3/5/2007
3/31/2027
Pending
Non Resident
Surplus Lines Broker
Not Applicable
*If a status is
Pending, Pending Replacement
,or the record displays
Affidavit on File
, click on them for more details.
No License Renewal Information
NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.
Address Information
Type
Address
Business / Home Office
9635 M St Omaha, NE 68127
Internet Information
Type
Address
Business Email
mscrivner@fortegra.com
Phone Information
Type
Phone
Business / Home Office
(402) 702-1086
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