DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wildy, Rosa	DOIID	1093890	NAIC NPN	19571194

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/14/2020		9/30/2025
Active	Non Resident	Agent	Property	8/14/2020		9/30/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/15/2021		9/30/2025
* 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
Agent	07/15/2025	09/30/2025
Surplus Lines Broker	07/15/2025	09/30/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Gcube Insurance Services, Inc.	754561	Agent - Casualty	2/2/2021
Active	Gcube Insurance Services, Inc.	754561	Agent - Property	2/2/2021
Active	Gcube Insurance Services, Inc.	754561	Surplus Lines Broker - Not Applicable	1/28/2021