DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cosat, Ross	DOIID	757201	NAIC NPN	15935949

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	6/28/2011	10/31/2013
Inactive	Non Resident	Agent	Casualty	6/28/2011	10/31/2013
* 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	Medical Protective Company (The)	301207	Agent - Casualty	7/1/2011	1/8/2013
Inactive	Medical Protective Company (The)	301207	Agent - Property	7/1/2011	1/8/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	MedPro Insurance Services, LLC	581478	Agent - Property	8/24/2012	1/8/2013
Inactive	MedPro Insurance Services, LLC	581478	Agent - Casualty	8/24/2012	1/8/2013