DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Weiss-Kozlowski, Melissa Claire	DOIID	688236	NAIC NPN	10559915

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	9/3/2008	12/31/2019
Inactive	Non Resident	Agent	Health	9/3/2008	12/31/2019
Inactive	Non Resident	Agent	Travel	9/3/2008	9/24/2019
Inactive	Non Resident	Agent	Casualty	9/3/2008	12/31/2019
* 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	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	1/31/2012	3/9/2015
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Health	1/31/2012	3/9/2015
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Property	1/31/2012	3/9/2015
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	1/26/2009	12/31/2019
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	1/26/2009	12/31/2019
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	1/26/2009	12/31/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Travel Guard Group Inc.	396290	Agent - Travel