DEPARTMENT OF INSURANCE

Name	Doroff, Elissa	DOIID	668504	NAIC NPN	8962592

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Property	9/25/2012	12/31/2016
Inactive	Non Resident	Agent	Casualty	9/25/2012	12/31/2016
Active	Non Resident	Independent Adjuster	Property & Casualty	2/7/2023		12/31/2026	New York
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	10/23/2012	12/31/2016

*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
Business / Home Office	60 E 42nd St Fl 42 New York, NY 101654298
Residence	Not Public Information

Internet Information

Type	Address
Business Email	ELISSA.DOROFF@MOSAICINSURANCE.COM

Phone Information

Type	Phone
Business / Home Office	(212) 508-9735