DEPARTMENT OF INSURANCE

Affiliations

Name	Wilson, Dawn	DOIID	507147	NAIC NPN	2793140

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/15/2000		8/31/2025
Active	Non Resident	Agent	Casualty	8/15/2000		8/31/2025
Inactive	Non Resident	Agent	General Lines	4/19/2000	8/15/2000
Active	Non Resident	Surplus Lines Broker	Not Applicable	5/22/2013		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
Inactive	ACE American Insurance Company	300625	Agent - Casualty	3/22/2005	9/23/2008
Inactive	ACE American Insurance Company	300625	Agent - Property	3/22/2005	9/23/2008
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	12/9/2006	9/23/2008
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	12/9/2006	9/23/2008
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	12/9/2006	9/23/2008
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	12/9/2006	9/23/2008
Active	Arch Insurance Company	300688	Agent - Casualty	1/24/2008
Active	Arch Insurance Company	300688	Agent - Property	1/24/2008
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	12/9/2006	9/23/2008
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	12/9/2006	9/23/2008
Inactive	Gray Insurance Company (The)	301532	Agent - Casualty	11/28/2023	12/19/2023
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	3/22/2005	9/23/2008
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	3/22/2005	9/23/2008
Active	MidSouth Mutual Insurance Company	739412	Agent - Casualty	11/9/2020
Active	MidSouth Mutual Insurance Company	739412	Agent - Property	11/9/2020
Active	Midwest Employers Casualty Company	300124	Agent - Casualty	8/15/2000
Inactive	Midwest Employers Casualty Company	300124	Agent - General Lines	4/19/2000	8/15/2000
Active	Midwest Employers Casualty Company	300124	Agent - Property	8/15/2000
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	12/9/2006	9/23/2008
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	12/9/2006	9/23/2008
Active	Safety National Casualty Corporation	300390	Agent - Casualty	4/10/2012
Active	Safety National Casualty Corporation	300390	Agent - Property	4/10/2012
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	3/22/2005	9/23/2008
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	3/22/2005	9/23/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Brentwood Reinsurance Intermediaries Inc	778833	Agent - Property	4/5/2012
Active	Brentwood Reinsurance Intermediaries Inc	778833	Agent - Casualty	4/5/2012
Active	Brentwood Reinsurance Intermediaries Inc	778833	Surplus Lines Broker - Not Applicable	4/1/2014
Inactive	Brentwood Services Brokerage, Inc	640893	Agent - Property	2/9/2010	11/1/2013
Inactive	Brentwood Services Brokerage, Inc	640893	Agent - Casualty	2/9/2010	11/1/2013
Inactive	Brentwood Services, Inc.	547613	Agent - Property	4/5/2002	10/25/2007
Inactive	Brentwood Services, Inc.	547613	Agent - Casualty	4/5/2002	10/25/2007