DEPARTMENT OF INSURANCE

Affiliations

Name	Antona, Mary L	DOIID	1012954	NAIC NPN	16798587

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	12/2/2025		7/31/2026
Active	Non Resident	Agent	Casualty	12/2/2025		7/31/2026
Active	Non Resident	Agent	Life	10/18/2023		7/31/2026
Inactive	Non Resident	Agent	Health	10/1/2018	7/31/2020
* 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	05/15/2026	07/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	11/8/2018	7/31/2020
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/30/2020	7/31/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/8/2018	7/31/2020
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/8/2018	7/31/2020
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	4/2/2024
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	12/2/2025
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	12/2/2025
Active	American Modern Home Insurance Company	300791	Agent - Casualty	2/8/2026
Active	American Modern Home Insurance Company	300791	Agent - Property	2/8/2026
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	10/19/2023	12/31/2024
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	10/25/2023	8/3/2025
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	11/8/2018	7/31/2020
Active	Homesite Insurance Company	301139	Agent - Casualty	12/2/2025
Active	Homesite Insurance Company	301139	Agent - Property	12/2/2025
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	12/2/2025
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	12/2/2025
Inactive	Lumico Life Insurance Company	300354	Agent - Life	4/10/2019	7/31/2020
Active	Midvale Indemnity Company	300292	Agent - Casualty	12/2/2025
Active	Midvale Indemnity Company	300292	Agent - Property	12/2/2025
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/31/2019	7/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	2/13/2026
Active	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	2/13/2026