DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchem, David L	DOIID	954575	NAIC NPN	1925737

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/17/2017	6/30/2027
Active	Non Resident	Agent	Property	5/17/2017	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
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	11/27/2023
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	11/27/2023
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	11/27/2023
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	11/27/2023
Active	Cincinnati Insurance Company	301298	Agent - Casualty	11/27/2023
Active	Cincinnati Insurance Company	301298	Agent - Property	11/27/2023
Active	EMC Property & Casualty Company	955217	Agent - Casualty	5/17/2021
Active	EMC Property & Casualty Company	955217	Agent - Property	5/17/2021
Active	EMCASCO Insurance Company	842790	Agent - Casualty	10/7/2019
Active	EMCASCO Insurance Company	842790	Agent - Property	10/7/2019
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	4/28/2021
Active	Employers Insurance Company of Wausau	301813	Agent - Property	4/28/2021
Active	Employers Mutual Casualty Company	300202	Agent - Casualty	10/7/2019
Active	Employers Mutual Casualty Company	300202	Agent - Property	10/7/2019
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	4/28/2021
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	4/28/2021
Active	LM Insurance Corporation	301061	Agent - Casualty	4/28/2021
Active	LM Insurance Corporation	301061	Agent - Property	4/28/2021
Active	Liberty Insurance Corporation	300444	Agent - Casualty	4/28/2021
Active	Liberty Insurance Corporation	300444	Agent - Property	4/28/2021
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	4/28/2021
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	4/28/2021
Active	MICO Insurance Company	301664	Agent - Casualty	8/10/2023
Active	MICO Insurance Company	301664	Agent - Property	8/10/2023
Active	Middlesex Insurance Company	590568	Agent - Casualty	4/3/2025
Active	Middlesex Insurance Company	590568	Agent - Property	4/3/2025
Active	Milbank Insurance Company	925185	Agent - Casualty	10/7/2020
Active	Milbank Insurance Company	925185	Agent - Property	10/7/2020
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	8/1/2019
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	8/1/2019
Active	Motorists Mutual Insurance Company	300963	Agent - Casualty	7/10/2023
Active	Motorists Mutual Insurance Company	300963	Agent - Property	7/10/2023
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
Active	RLI Insurance Company	301217	Agent - Casualty	8/29/2019
Active	RLI Insurance Company	301217	Agent - Property	8/29/2019
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	11/24/2020
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	11/24/2020
Active	Sentry Insurance Company	300222	Agent - Casualty	4/3/2025
Active	Sentry Insurance Company	300222	Agent - Property	4/3/2025
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	8/25/2020
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	8/25/2020
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	12/3/2021
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	12/3/2021
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	4/5/2019
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	4/5/2019
Active	West Bend Insurance Company	672974	Agent - Casualty	2/28/2025
Active	West Bend Insurance Company	672974	Agent - Property	2/28/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Peoples Insurance Agency LLC	517977	Agent - Property	6/5/2025
Active	Peoples Insurance Agency LLC	517977	Agent - Casualty	6/5/2025