DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brown, Mary Denise	DOIID	966510	NAIC NPN	7922085

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/6/2017	9/30/2018
Active	Non Resident	Independent Adjuster	Property & Casualty	5/31/2024		9/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Independent Adjuster	07/15/2026	09/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/6/2017	12/11/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/6/2017	12/11/2017
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/6/2017	12/11/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ttec Financial Services Management LLC	881063	Independent Adjuster - Property & Casualty	6/24/2024