DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gill, Mary Elizabeth	DOIID	925333	NAIC NPN	18019281

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/19/2016	5/8/2019
Inactive	Non Resident	Agent	Property	8/19/2016	5/8/2019
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	8/29/2016	5/8/2019
* 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	Continental Casualty Company	301019	Agent - Casualty	9/9/2016	5/8/2019
Inactive	Continental Casualty Company	301019	Agent - Property	9/9/2016	5/8/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CBIZ Ins Services Inc	515291	Agent - Property	9/9/2016	5/8/2019
Inactive	CBIZ Ins Services Inc	515291	Agent - Casualty	9/9/2016	5/8/2019
Inactive	CBIZ Ins Services Inc	515291	Surplus Lines Broker - Not Applicable	8/30/2016	5/8/2019