DEPARTMENT OF INSURANCE

Affiliations

Name	Mr. Insurance, Inc.	DOIID	399163	NAIC NPN	7221449

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	3/5/1987	3/31/2009
Inactive	Resident	Agent	Health	3/5/1987	3/31/2009
Inactive	Resident	Agent	General Lines	5/5/1986	8/15/2000
Pending Replacement	Resident	Agent	Property	6/25/2021		3/31/2025
Pending Replacement	Resident	Agent	Casualty	6/25/2021		3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	8/2/2002	3/31/2009
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	8/2/2002	3/31/2009
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	6/11/2020	3/31/2021
Inactive	American Family Home Insurance Company	301817	Agent - Property	6/11/2020	3/31/2021
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	8/17/2021	11/22/2024
Inactive	American Reliable Insurance Company	301889	Agent - Property	8/17/2021	11/22/2024
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	10/1/1997	4/6/2001
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	10/1/1997	4/6/2001
Inactive	Falls Lake National Insurance Company	301796	Agent - Casualty	8/15/2000	2/20/2004
Inactive	Falls Lake National Insurance Company	301796	Agent - General Lines	5/22/1996	8/15/2000
Inactive	Globe American Casualty Company	301033	Agent - General Lines	5/11/1990	5/22/2000
Inactive	Hallmark National Insurance Company	300494	Agent - Casualty	12/31/2009	11/21/2017
Inactive	Hallmark National Insurance Company	300494	Agent - General Lines	1/6/1995	8/15/2000
Inactive	Hallmark National Insurance Company	300494	Agent - Property	12/31/2009	11/21/2017
Inactive	Infinity Casualty Insurance Company	301280	Agent - Casualty	8/15/2000	2/20/2004
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	2/23/1994	8/15/2000
Inactive	Infinity Standard Insurance Company	301643	Agent - Casualty	8/15/2000	10/15/2004
Inactive	Infinity Standard Insurance Company	301643	Agent - General Lines	5/30/1991	8/15/2000
Inactive	Infinity Standard Insurance Company	301643	Agent - Property	8/15/2000	10/15/2004
Inactive	Integon National Insurance Company	301600	Agent - General Lines	11/9/1993	11/24/1997
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Health	3/5/1987	3/22/2002
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	3/5/1987	3/22/2002
Inactive	Investors Life Insurance Company of North America	301660	Agent - Health	3/22/2002	4/1/2002
Inactive	Investors Life Insurance Company of North America	301660	Agent - Life	3/22/2002	4/1/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Health	5/18/1998	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	5/18/1998	8/2/2002
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	12/31/2009	3/31/2021
Inactive	Meridian Security Insurance Company	300423	Agent - Property	12/31/2009	3/31/2021
Inactive	Milbank Insurance Company	925185	Agent - Casualty	11/8/2017	3/31/2021
Inactive	Milbank Insurance Company	925185	Agent - Property	11/8/2017	3/31/2021
Inactive	National Insurance Association	301386	Agent - General Lines	9/6/1995	5/22/2000
Inactive	Protective Life Insurance Company	300638	Agent - Health	3/14/1998	3/31/2009
Inactive	Protective Life Insurance Company	300638	Agent - Life	3/14/1998	3/31/2009
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	12/31/2009	3/31/2021
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - General Lines	5/5/1986	8/15/2000
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	12/31/2009	3/31/2021
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	12/31/2009	3/31/2021
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	5/5/1986	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	12/31/2009	3/31/2021
Inactive	Time Insurance Company	300683	Agent - Health	8/1/2002	3/31/2009
Inactive	Time Insurance Company	300683	Agent - Life	8/1/2002	3/31/2009
Inactive	Windhaven National Insurance Company	300094	Agent - Casualty	8/15/2000	2/20/2004
Inactive	Windhaven National Insurance Company	300094	Agent - General Lines	10/22/1993	8/15/2000

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allgeier, Patricia Ann	321108	Agent - Casualty	6/26/2009	2/1/2014
Denied	Allgeier, Patricia Ann	321108	Agent - Health
Inactive	Allgeier, Patricia Ann	321108	Agent - Property	6/26/2009	2/1/2014
Active	White, Don L	377909	Agent - Casualty	6/25/2021
Inactive	White, Don L	377909	Agent - General Lines	5/5/1986	8/15/2000
Inactive	White, Don L	377909	Agent - Health	5/5/1986	3/31/2009
Inactive	White, Don L	377909	Agent - Life	5/5/1986	3/31/2009
Active	White, Don L	377909	Agent - Property	6/25/2021
Inactive	White, Vicki Anne	359938	Agent - Casualty	6/26/2009	3/31/2021
Inactive	White, Vicki Anne	359938	Agent - General Lines	5/5/1986	8/15/2000
Inactive	White, Vicki Anne	359938	Agent - Property	6/26/2009	3/31/2021