DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Courvelle, Mary J	DOIID	804656	NAIC NPN	4735171

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/27/2013		9/30/2025
Active	Non Resident	Agent	Casualty	2/27/2013		9/30/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	8/30/2016		9/30/2025
* 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	AmGUARD Insurance Company	500010	Agent - Casualty	7/15/2019
Active	EastGUARD Insurance Company	500017	Agent - Casualty	2/1/2019
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	1/7/2016
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	1/7/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Louisiana Companies	556727	Surplus Lines Broker - Not Applicable	8/30/2016