DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Thompson, Mary Rose	DOIID	1109156	NAIC NPN	4563653

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	11/5/2020		8/31/2026
Active	Non Resident	Agent	Health	11/5/2020		8/31/2026
Active	Non Resident	Agent	Life	11/5/2020		8/31/2026
Active	Non Resident	Agent	Property	11/5/2020		8/31/2026
* 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	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	General Casualty Company of Wisconsin	300930	Agent - Casualty	4/4/2022
Active	General Casualty Company of Wisconsin	300930	Agent - Property	4/4/2022
Active	North Pointe Insurance Company	301029	Agent - Casualty	4/4/2022
Active	North Pointe Insurance Company	301029	Agent - Property	4/4/2022
Active	Regent Insurance Company	300411	Agent - Casualty	4/4/2022
Active	Regent Insurance Company	300411	Agent - Property	4/4/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Pedersen, Dowie, Clabby & McCausland Insurance	583038	Agent - Casualty
Denied	Pedersen, Dowie, Clabby & McCausland Insurance	583038	Agent - Property