DEPARTMENT OF INSURANCE

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	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.

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	Baldwin Krystyn Sherman Partners, LLC	638213	Agent - Casualty	9/9/2022	9/13/2023
Inactive	Baldwin Krystyn Sherman Partners, LLC	638213	Agent - Property	9/9/2022	9/13/2023
Inactive	Baldwin Krystyn Sherman Partners, LLC	638213	Surplus Lines Broker - Not Applicable	9/9/2022	9/13/2023
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