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DEPARTMENT OF INSURANCE
Affiliations
Name
Ford, Rosetta S
DOIID
982034
NAIC NPN
370477
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Life
1/19/2018
5/31/2025
Active
Non Resident
Agent
Health
1/19/2018
5/31/2025
Active
Non Resident
Agent
Property
1/19/2018
5/31/2025
Active
Non Resident
Agent
Casualty
1/19/2018
5/31/2025
* 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
Inactive
Church Mutual Insurance Company, S.I.
301554
Agent - Casualty
2/28/2018
12/5/2023
Active
Church Mutual Insurance Company, S.I.
301554
Agent - Health
3/7/2018
Inactive
Church Mutual Insurance Company, S.I.
301554
Agent - Property
2/28/2018
12/5/2023
Active
ClearPath Insurance Company
979815
Agent - Casualty
2/28/2024
Active
RLI Insurance Company
301217
Agent - Casualty
8/4/2021
Active
RLI Insurance Company
301217
Agent - Property
8/4/2021
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
C M I C Specialty Services Inc
645077
Agent - Casualty
2/28/2018
1/25/2024
Inactive
C M I C Specialty Services Inc
645077
Agent - Property
2/28/2018
1/25/2024
Inactive
C M I C Specialty Services Inc
645077
Agent - Life
11/3/2020
1/25/2024
Inactive
C M I C Specialty Services Inc
645077
Agent - Health
3/7/2018
1/25/2024
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