DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mazzone, Susanne M	DOIID	1117660	NAIC NPN	2297184

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/21/2021		6/30/2025
Active	Non Resident	Agent	Casualty	1/21/2021		6/30/2025
Active	Non Resident	Independent Adjuster	Property & Casualty	3/4/2025		6/30/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/1/2021		6/30/2025
* 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	04/15/2025	06/30/2025
Surplus Lines Broker	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Midvale Indemnity Company	300292	Agent - Casualty	2/1/2021
Active	Midvale Indemnity Company	300292	Agent - Property	2/1/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bowhead Specialty Underwriters Inc.	1102220	Agent - Casualty	5/5/2021	4/20/2022
Denied	Bowhead Specialty Underwriters Inc.	1102220	Agent - Casualty
Inactive	Bowhead Specialty Underwriters Inc.	1102220	Agent - Property	5/5/2021	4/20/2022
Denied	Bowhead Specialty Underwriters Inc.	1102220	Agent - Property
Inactive	Bowhead Specialty Underwriters Inc.	1102220	Surplus Lines Broker - Not Applicable	5/5/2021	4/20/2022
Active	Lancashire Insurance (Us) LLC	1305516	Agent - Casualty	10/17/2023
Active	Lancashire Insurance (Us) LLC	1305516	Agent - Property	10/17/2023
Active	Lancashire Insurance (Us) LLC	1305516	Surplus Lines Broker - Not Applicable	10/17/2023
Inactive	The Baldwin Group Southeast, LLC	638213	Agent - Casualty	9/9/2022	9/13/2023
Inactive	The Baldwin Group Southeast, LLC	638213	Agent - Property	9/9/2022	9/13/2023
Inactive	The Baldwin Group Southeast, LLC	638213	Surplus Lines Broker - Not Applicable	9/9/2022	9/13/2023