DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Schupp, Mary	DOIID	787986	NAIC NPN	7713454

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/13/2015		2/28/2026
Active	Non Resident	Agent	Life	8/9/2012		2/28/2026
Active	Non Resident	Agent	Health	8/9/2012		2/28/2026
Active	Non Resident	Agent	Casualty	2/13/2015		2/28/2026
* 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
Active	AXIS Insurance Company	301290	Agent - Health	8/23/2012
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	5/23/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Mercer Health & Benefits LLC	607080	Agent - Health	8/30/2012
Denied	Mercer Health & Benefits LLC	607080	Agent - Life