DEPARTMENT OF INSURANCE

Affiliations

Name	Rosen, Michael Andrew	DOIID	630151	NAIC NPN	8764255

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	4/14/2006	8/31/2018
Inactive	Non Resident	Agent	Casualty	4/14/2006	8/31/2018
* 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	ACE American Insurance Company	300625	Agent - Casualty	4/10/2015	9/17/2018
Inactive	ACE American Insurance Company	300625	Agent - Property	4/10/2015	9/17/2018
Inactive	American Automobile Insurance Company	300953	Agent - Casualty	12/12/2014	12/7/2015
Inactive	American Automobile Insurance Company	300953	Agent - Property	12/12/2014	12/7/2015
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	4/10/2015	9/17/2018
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	4/10/2015	9/17/2018
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	12/12/2014	12/7/2015
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	12/12/2014	12/7/2015
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	4/26/2006	8/20/2014
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	4/26/2006	8/20/2014
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	4/26/2006	8/20/2014
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	4/26/2006	8/20/2014
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	6/20/2008	8/20/2014
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	6/20/2008	8/20/2014
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	4/26/2006	8/20/2014
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	4/26/2006	8/20/2014
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	4/10/2015	9/17/2018
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	4/10/2015	9/17/2018
Inactive	National Surety Corporation	300087	Agent - Casualty	12/12/2014	12/7/2015
Inactive	National Surety Corporation	300087	Agent - Property	12/12/2014	12/7/2015
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	4/10/2015	9/17/2018
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	4/10/2015	9/17/2018
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	12/12/2014	12/7/2015
Inactive	Pie Insurance Company (The)	300514	Agent - Property	12/12/2014	12/7/2015
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	4/26/2006	8/20/2014
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	4/26/2006	8/20/2014
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	1/11/2012	8/20/2014
Inactive	Trumbull Insurance Company	300242	Agent - Property	1/11/2012	8/20/2014
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	12/16/2008	8/20/2014
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	12/16/2008	8/20/2014
Inactive	WCF Select Insurance Company	301898	Agent - Casualty	12/12/2014	12/7/2015
Inactive	WCF Select Insurance Company	301898	Agent - Property	12/12/2014	12/7/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chubb Insurance Solutions Agency Inc.	505858	Agent - Casualty	6/15/2017	11/22/2017
Inactive	Chubb Insurance Solutions Agency Inc.	505858	Agent - Property	6/15/2017	11/22/2017