DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brozanic, Mark S	DOIID	1080549	NAIC NPN	8041909

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/7/2020	10/31/2022
Inactive	Non Resident	Agent	Casualty	4/7/2020	10/31/2022
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	4/23/2020	3/9/2021
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	4/23/2020	3/9/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mylo LLC	973654	Agent - Casualty	4/23/2020	3/9/2021
Inactive	Mylo LLC	973654	Agent - Property	4/23/2020	3/9/2021