DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Montalbano, Mary	DOIID	589122	NAIC NPN	7931328

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	5/10/2004	2/23/2018
Inactive	Non Resident	Agent	Casualty	5/10/2004	2/23/2018
* 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	Dairyland Insurance Company	301370	Agent - Casualty	5/18/2004	5/1/2013
Inactive	Dairyland Insurance Company	301370	Agent - Property	5/18/2004	5/1/2013
Inactive	Middlesex Insurance Company	590568	Agent - Casualty	11/12/2014	2/23/2018
Inactive	Middlesex Insurance Company	590568	Agent - Property	11/12/2014	2/23/2018
Inactive	Sentry Insurance Company	300222	Agent - Casualty	5/18/2004	2/23/2018
Inactive	Sentry Insurance Company	300222	Agent - Property	5/18/2004	2/23/2018
Inactive	Sentry Select Insurance Company	301648	Agent - Casualty	11/12/2014	2/23/2018
Inactive	Sentry Select Insurance Company	301648	Agent - Property	11/12/2014	2/23/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Parker Stevens Agency LLC	558419	Agent - Property	7/28/2008	2/23/2018
Inactive	Parker Stevens Agency LLC	558419	Agent - Casualty	7/28/2008	2/23/2018