DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Pies, Mitchell James	DOIID	1055773	NAIC NPN	5048035

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	9/11/2019		6/30/2027
Active	Non Resident	Agent	Casualty	9/11/2019		6/30/2027
* 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
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	11/29/2023
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	11/29/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Leavitt Recreation & Hospitality Ins Inc	660397	Agent - Casualty	11/29/2023
Active	Leavitt Recreation & Hospitality Ins Inc	660397	Agent - Property	11/29/2023