DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mazur, Phillip	DOIID	610538	NAIC NPN	2565429

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/14/2005		1/31/2026
Active	Non Resident	Agent	Property	7/14/2005		1/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	2/6/2006		1/31/2026
* 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	Arch Insurance Company	300688	Agent - Casualty	2/24/2011
Active	Arch Insurance Company	300688	Agent - Property	2/24/2011
Active	RSUI Indemnity Company	300513	Agent - Casualty	6/30/2006
Active	RSUI Indemnity Company	300513	Agent - Property	6/30/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CRC Ins Services, LLC	502276	Agent - Property	8/17/2016	1/10/2024
Inactive	CRC Ins Services, LLC	502276	Agent - Casualty	8/17/2016	1/10/2024
Inactive	CRC Ins Services, LLC	502276	Surplus Lines Broker - Not Applicable	8/17/2016	1/10/2024
Inactive	Swett & Crawford	513269	Agent - Property	7/28/2009	11/17/2017
Inactive	Swett & Crawford	513269	Agent - Casualty	7/28/2009	11/17/2017
Inactive	Swett & Crawford	513269	Surplus Lines Broker - Not Applicable	7/28/2009	11/17/2017