DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ross, Susan Smith	DOIID	636441	NAIC NPN	8862759

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	9/12/2006		11/30/2024
Active	Resident	Agent	Casualty	9/12/2006		11/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	1/27/2016
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	1/27/2016
Active	Ansur America Insurance Company	520667	Agent - Casualty	7/14/2021
Active	Ansur America Insurance Company	520667	Agent - Property	7/14/2021
Active	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	1/25/2013
Active	ClearPath Insurance Company	979815	Agent - Casualty	3/7/2024
Active	Frankenmuth Insurance Company	301481	Agent - Casualty	7/14/2021
Active	Frankenmuth Insurance Company	301481	Agent - Property	7/14/2021
Active	NorthStone Insurance Company	818905	Agent - Casualty	1/13/2014
Active	PinnaclePoint Insurance Company	819085	Agent - Casualty	1/13/2014
Active	SummitPoint Insurance Company	819084	Agent - Casualty	1/13/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Chas. M. Moore Insurance Agency Inc.	400317	Agent - Casualty	1/20/2016
Active	Chas. M. Moore Insurance Agency Inc.	400317	Agent - Property	1/27/2016
Inactive	Education Risk Solutions LLC	804299	Agent - Casualty	8/25/2021	3/31/2023
Inactive	Education Risk Solutions LLC	804299	Agent - Property	8/25/2021	3/31/2023
Inactive	Neace Lukens, Inc.	398909	Agent - Casualty	12/5/2012	3/31/2014
Inactive	Neace Lukens, Inc.	398909	Agent - Property	7/12/2007	3/31/2014