black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

THE MITCHELL AGENCY, INC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN531977
Status:
First Licensure:
10/29/2025
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
2800 FERRY ST
LAFAYETTE, IN 47904-3022
Mailing:
2800 FERRY ST
LAFAYETTE, IN 47904-3022
Phone:
+1 (765) 742-1135
Fax:
+1 (765) 742-4077
Email:
ccr@mitchellagy.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 10/29/2025 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
SELECTIVE INSURANCE COMPANY OF AMERICA
11/01/2025 PCF456095
SELECTIVE INSURANCE COMPANY OF NEW YORK
11/01/2025 PCF437
SELECTIVE INSURANCE COMPANY OF SOUTH CAROLINA
11/01/2025 PCF456097
SELECTIVE INSURANCE COMPANY OF THE SOUTHEAST
11/01/2025 PCF456098
SELECTIVE WAY INSURANCE COMPANY
11/01/2025 PCF456096

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
MATTHEW J. METZGER
10/29/2025 PRN407399

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
MATTHEW J. METZGER PRN407399

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
957754

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 11/20/2025 05:09:41 PM