DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Paulsen, Marcia M.	DOIID	519591	NAIC NPN	245529

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	1/19/2001	10/31/2014
Inactive	Non Resident	Agent	Property	1/19/2001	10/31/2014
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	5/15/2003	11/15/2013
* 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	Aegis Security Insurance Company	300492	Agent - Casualty	1/19/2001	10/31/2014
Inactive	Aegis Security Insurance Company	300492	Agent - Property	1/19/2001	10/31/2014
Inactive	Clarendon National Insurance Company	300843	Agent - Casualty	9/22/2004	3/31/2008
Inactive	Clarendon National Insurance Company	300843	Agent - Property	9/22/2004	3/31/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Coverx Corporation	525742	Agent - Property	5/25/2001	11/6/2014
Inactive	Coverx Corporation	525742	Agent - Casualty	5/25/2001	11/6/2014
Inactive	First Mercury Emerald Ins Services Inc	668294	Agent - Property	11/14/2007	3/31/2013
Inactive	First Mercury Emerald Ins Services Inc	668294	Agent - Casualty	11/14/2007	3/31/2013