DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Nielsen, Susan A	DOIID	739481	NAIC NPN	5436021

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/11/2010	8/31/2012
Inactive	Non Resident	Agent	Casualty	10/11/2010	8/31/2012
* 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	Hanover American Insurance Company (The)	300447	Agent - Casualty	12/8/2010	8/31/2012
Inactive	Hanover American Insurance Company (The)	300447	Agent - Property	12/8/2010	8/31/2012
Inactive	Hanover Insurance Company (The)	300508	Agent - Casualty	12/8/2010	8/31/2012
Inactive	Hanover Insurance Company (The)	300508	Agent - Property	12/8/2010	8/31/2012
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Casualty	12/8/2010	8/31/2012
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Property	12/8/2010	8/31/2012
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	12/2/2010	8/31/2012
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	12/2/2010	8/31/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Omni Underwriting Managers LLC	630189	Agent - Property	12/2/2010	8/31/2012
Inactive	Omni Underwriting Managers LLC	630189	Agent - Casualty	12/2/2010	8/31/2012