DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Rozsypal, Wednesday Kaye	DOIID	937533	NAIC NPN	18090573

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/17/2016	1/31/2019
Inactive	Non Resident	Agent	Casualty	11/17/2016	1/31/2019
* 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	CGB Insurance Company	559048	Agent - Casualty	1/30/2017	9/21/2018
Inactive	CGB Insurance Company	559048	Agent - Property	1/30/2017	9/21/2018
Inactive	Kin Interinsurance Nexus Exchange	301518	Agent - Casualty	3/22/2017	1/31/2019
Inactive	Kin Interinsurance Nexus Exchange	301518	Agent - Property	3/22/2017	1/31/2019
Inactive	Stratford Insurance Company	301329	Agent - Casualty	3/8/2018	1/31/2019
Inactive	Stratford Insurance Company	301329	Agent - Property	3/8/2018	1/31/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ag Resource Ins LLC	898238	Agent - Property	1/30/2017	9/18/2018
Inactive	Ag Resource Ins LLC	898238	Agent - Casualty	1/30/2017	9/18/2018