DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mazza, Mary	DOIID	635538	NAIC NPN	2146112

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	7/10/2006	5/31/2021
Inactive	Non Resident	Agent	Property	7/10/2006	5/31/2021
* 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	Bristol West Insurance Company	301655	Agent - Casualty	6/5/2018	5/13/2021
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/5/2018	5/13/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/5/2018	5/13/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/5/2018	5/13/2021
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	5/20/2013	7/28/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	5/20/2013	7/28/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	5/20/2013	7/28/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	5/20/2013	7/28/2016
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	3/27/2008	2/9/2021
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	3/27/2008	2/9/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	11/10/2011	10/9/2019
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	11/10/2011	10/9/2019
Inactive	Usi Insurance Services LLC	669260	Agent - Property	1/3/2019	2/10/2021
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	1/3/2019	2/10/2021
Inactive	Wells Fargo Insurance Services of Illinois	537224	Agent - Property	3/8/2010	11/22/2010
Inactive	Wells Fargo Insurance Services of Illinois	537224	Agent - Casualty	3/8/2010	11/22/2010