DEPARTMENT OF INSURANCE

Affiliations

Name	Mauzy, Jerry G	DOIID	370753	NAIC NPN	259901

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	8/15/2000		4/30/2026
Active	Resident	Agent	Life	4/16/1980		4/30/2026
Active	Resident	Agent	Property	8/15/2000		4/30/2026
Active	Resident	Agent	Health	4/16/1980		4/30/2026
Inactive	Resident	Agent	General Lines	10/1/1979	8/15/2000
Inactive	Resident	Agent	Credit Life & Health	11/23/1994	3/31/1999
Active	Resident	Surplus Lines Broker	Not Applicable	10/24/1979		4/30/2026
* 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	Acadia Insurance Company	557871	Agent - Casualty	3/15/2023
Active	Acadia Insurance Company	557871	Agent - Property	3/15/2023
Active	Allianz Global Risks US Insurance Company	301250	Agent - Casualty	12/23/2015
Active	Allianz Global Risks US Insurance Company	301250	Agent - Property	12/23/2015
Active	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/8/2019
Active	American Fire and Casualty Company	300567	Agent - Casualty	3/24/2004
Active	American Fire and Casualty Company	300567	Agent - Property	3/24/2004
Inactive	American Select Insurance Company	301229	Agent - Casualty	10/5/2000	5/19/2006
Inactive	American Select Insurance Company	301229	Agent - Property	10/5/2000	5/19/2006
Inactive	American and Foreign Insurance Company	301124	Agent - Casualty	8/15/2000	12/31/2004
Inactive	American and Foreign Insurance Company	301124	Agent - General Lines	2/20/1986	8/15/2000
Inactive	American and Foreign Insurance Company	301124	Agent - Property	8/15/2000	12/31/2004
Inactive	Arrowood Indemnity Company	300144	Agent - Casualty	8/15/2000	7/27/2007
Inactive	Arrowood Indemnity Company	300144	Agent - General Lines	2/20/1986	8/15/2000
Inactive	Arrowood Indemnity Company	300144	Agent - Property	8/15/2000	7/27/2007
Inactive	Assurance Company of America	300432	Agent - General Lines	10/13/1986	3/31/1996
Inactive	Bedivere Insurance Company	300710	Agent - General Lines	6/11/1992	3/31/1998
Active	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	6/1/2012
Active	BusinessFirst Insurance Company	722488	Agent - Casualty	1/11/2024
Inactive	CastlePoint National Insurance Company	300082	Agent - General Lines	6/11/1992	3/31/1998
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/15/2000	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	10/9/1997	8/15/2000
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/15/2000	10/13/2022
Active	Continental Western Insurance Company	300576	Agent - Casualty	3/15/2023
Active	Continental Western Insurance Company	300576	Agent - Property	3/15/2023
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	6/7/2016
Active	Employers Insurance Company of Wausau	301813	Agent - Property	6/7/2016
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	11/8/1995	3/31/1997
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	11/8/1995	3/31/1997
Active	Firemen's Insurance Company of Washington, D.C.	645553	Agent - Casualty	3/15/2023
Active	Firemen's Insurance Company of Washington, D.C.	645553	Agent - Property	3/15/2023
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	6/7/2016
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	6/7/2016
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	10/15/2021
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	10/15/2021
Inactive	General American Life Insurance Company	300280	Agent - Health	4/16/1980	5/30/2000
Inactive	General American Life Insurance Company	300280	Agent - Life	4/16/1980	5/30/2000
Active	General Insurance Company of America	300261	Agent - Casualty	6/5/2024
Active	General Insurance Company of America	300261	Agent - Property	6/5/2024
Inactive	Glatfelter Insurance Company	301640	Agent - General Lines	10/13/1986	3/31/1996
Inactive	Globe Indemnity Company	300507	Agent - Casualty	8/15/2000	12/31/2004
Inactive	Globe Indemnity Company	300507	Agent - General Lines	2/20/1986	8/15/2000
Inactive	Globe Indemnity Company	300507	Agent - Property	8/15/2000	12/31/2004
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/15/2000	3/20/2009
Inactive	Great American Insurance Company	301586	Agent - General Lines	3/11/1996	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	8/15/2000	3/20/2009
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	8/15/2000	3/20/2009
Inactive	Great American Insurance Company of New York	301897	Agent - General Lines	3/11/1996	8/15/2000
Inactive	Great American Insurance Company of New York	301897	Agent - Property	8/15/2000	3/20/2009
Inactive	Hanover Insurance Company (The)	300508	Agent - General Lines	6/24/1982	7/22/1998
Inactive	Hartford Steam Boiler Inspection and Insurance Company	300799	Agent - Casualty	8/15/2000	4/5/2002
Inactive	Hartford Steam Boiler Inspection and Insurance Company	300799	Agent - General Lines	4/13/1981	8/15/2000
Inactive	Hartford Steam Boiler Inspection and Insurance Company	300799	Agent - Property	8/15/2000	4/5/2002
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/15/2000	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - General Lines	10/9/1997	8/15/2000
Inactive	Indiana Insurance Company	301909	Agent - Property	8/15/2000	2/3/2023
Active	LM Insurance Corporation	301061	Agent - Casualty	6/7/2016
Active	LM Insurance Corporation	301061	Agent - Property	6/7/2016
Active	Liberty Insurance Corporation	300444	Agent - Casualty	6/7/2016
Active	Liberty Insurance Corporation	300444	Agent - Property	6/7/2016
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	6/7/2016
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	6/7/2016
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	6/7/2016
Active	Liberty Mutual Insurance Company	301159	Agent - Property	6/7/2016
Inactive	Manhattan National Life Insurance Company	301011	Agent - Life	5/7/1997	10/11/1999
Inactive	Maryland Casualty Company	301719	Agent - General Lines	10/10/1986	3/31/1996
Inactive	Nassau Life Insurance Company	301406	Agent - Health	11/4/1987	3/31/1997
Inactive	Nassau Life Insurance Company	301406	Agent - Life	11/4/1987	3/31/1997
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	11/23/1994	3/31/1999
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/15/2000	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	10/9/1997	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/15/2000	4/26/2024
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	11/1/1994	3/31/1997
Inactive	Northern Insurance Company of New York	301317	Agent - General Lines	10/10/1986	3/31/1996
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	3/24/2004
Active	Ohio Casualty Insurance Company	301492	Agent - Property	3/24/2004
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	8/15/2000	8/25/2009
Inactive	Ohio Farmers Insurance Company	301667	Agent - General Lines	10/1/1979	8/15/2000
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	8/15/2000	8/25/2009
Active	Ohio Security Insurance Company	300622	Agent - Casualty	3/24/2004
Active	Ohio Security Insurance Company	300622	Agent - Property	3/24/2004
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/3/2021	6/14/2021
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	8/16/1982	3/31/1997
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	8/16/1982	3/31/1997
Active	Peerless Insurance Company	301910	Agent - Casualty	8/15/2000
Inactive	Peerless Insurance Company	301910	Agent - General Lines	10/9/1997	8/15/2000
Active	Peerless Insurance Company	301910	Agent - Property	8/15/2000
Inactive	Pennsylvania Insurance Company	301219	Agent - General Lines	6/11/1992	3/31/1998
Inactive	Reliance Insurance Company	300785	Agent - Health	10/24/1995	4/12/1996
Inactive	Royal Insurance Company of America	301120	Agent - Casualty	8/15/2000	12/31/2004
Inactive	Royal Insurance Company of America	301120	Agent - General Lines	2/3/1986	8/15/2000
Inactive	Royal Insurance Company of America	301120	Agent - Property	8/15/2000	12/31/2004
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008
Active	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008
Inactive	Safeguard Insurance Company	300800	Agent - Casualty	3/23/2001	12/31/2004
Inactive	Safeguard Insurance Company	300800	Agent - Property	3/23/2001	12/31/2004
Inactive	Security Insurance Company of Hartford	300973	Agent - Casualty	12/31/2004	7/27/2007
Inactive	Security Insurance Company of Hartford	300973	Agent - Property	12/31/2004	7/27/2007
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	10/6/1998	1/24/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	10/6/1998	11/19/2002
Inactive	Time Insurance Company	300683	Agent - Health	6/28/2004	5/15/2014
Inactive	Time Insurance Company	300683	Agent - Life	6/28/2004	5/15/2014
Active	Tri-State Insurance Company of Minnesota	663528	Agent - Casualty	3/15/2023
Active	Tri-State Insurance Company of Minnesota	663528	Agent - Property	3/15/2023
Active	Union Insurance Company	547433	Agent - Casualty	3/15/2023
Active	Union Insurance Company	547433	Agent - Property	3/15/2023
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	8/15/2000	2/20/2004
Inactive	United States Fidelity and Guaranty Company	301449	Agent - General Lines	10/31/1986	8/15/2000
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	8/15/2000	12/18/2003
Active	West American Insurance Company	301112	Agent - Casualty	3/24/2004
Active	West American Insurance Company	301112	Agent - Property	3/24/2004
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/3/2021	6/14/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	8/15/2000
Inactive	Westfield Insurance Company	301950	Agent - General Lines	9/11/1987	8/15/2000
Active	Westfield Insurance Company	301950	Agent - Property	8/15/2000
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	10/5/2000	8/25/2009
Inactive	Westfield National Insurance Company	301036	Agent - Property	10/5/2000	8/25/2009
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/3/2021	6/14/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/3/2021	6/14/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/3/2021	6/14/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mauzy & Associates Inc	398815	Agent - General Lines	12/1/1980	8/15/2000
Denied	Mauzy & Associates Inc	398815	Agent - Life
Denied	Mauzy & Associates Inc	398815	Agent - Health
Active	Mauzy & Associates Inc	398815	Agent - Property	6/6/2022
Active	Mauzy & Associates Inc	398815	Agent - Casualty	6/6/2022