DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Douglas	DOIID	621027	NAIC NPN	6608623

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/30/2005		12/31/2025
Active	Non Resident	Agent	Casualty	11/30/2005		12/31/2025
* 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	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Interstate Insurance Company	301092	Agent - Casualty	5/2/2007	11/9/2022
Inactive	American Interstate Insurance Company	301092	Agent - Property	5/2/2007	11/9/2022
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Active	HDI Global Insurance Company	676678	Agent - Casualty	11/30/2021
Active	HDI Global Insurance Company	676678	Agent - Property	11/30/2021
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Samsung Fire & Marine Insurance Co., Ltd (US Branch)	752518	Agent - Casualty	3/24/2014	9/19/2017
Inactive	Samsung Fire & Marine Insurance Co., Ltd (US Branch)	752518	Agent - Property	3/24/2014	9/19/2017
Inactive	Silver Oak Casualty, Inc.	517101	Agent - Casualty	5/2/2007	11/23/2010
Inactive	Silver Oak Casualty, Inc.	517101	Agent - Property	5/2/2007	11/23/2010
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	8/13/2007	4/11/2019
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	8/13/2007	4/11/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	9/14/2007	10/9/2019
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	9/14/2007	10/9/2019
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	12/27/2018	2/5/2024
Inactive	Usi Insurance Services LLC	669260	Agent - Property	12/27/2018	2/5/2024