DEPARTMENT OF INSURANCE

Name	Mauzy, Jerry G	DOIID	370753	NAIC NPN	259901

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	4/16/1980		4/30/2026
Active	Resident	Agent	Casualty	8/15/2000		4/30/2026
Active	Resident	Agent	Life	4/16/1980		4/30/2026
Active	Resident	Agent	Property	8/15/2000		4/30/2026
Inactive	Resident	Agent	Credit Life & Health	11/23/1994	3/31/1999
Inactive	Resident	Agent	General Lines	10/1/1979	8/15/2000
Active	Resident	Surplus Lines Broker	Not Applicable	10/24/1979		4/30/2026

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	Mauzy & Associates, Inc. 9300 Shelbyville Rd Suite 510Louisville, KY 40222