DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wilson, Mary Jo	DOIID	1189450	NAIC NPN	19165845

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	2/22/2022		8/31/2025
Active	Non Resident	Agent	Property	2/22/2022		8/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	2/22/2022		8/31/2025
* 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	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	12/12/2022
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	12/12/2022
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	12/12/2022
Active	Liberty Mutual Insurance Company	301159	Agent - Property	12/12/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CRC Ins Services, LLC	502276	Agent - Casualty	12/12/2022
Active	CRC Ins Services, LLC	502276	Agent - Property	12/12/2022
Active	CRC Ins Services, LLC	502276	Surplus Lines Broker - Not Applicable	12/6/2022