DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mosaic Americas Insurance Services LLC	DOIID	1115454	NAIC NPN	19737952

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/5/2021		3/31/2027
Active	Non Resident	Agent	Casualty	1/5/2021		3/31/2027
Active	Non Resident	Independent Adjuster	Property & Casualty	3/21/2024		3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/5/2021		3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Delong, Yosha R	1119354	Agent - Casualty
Denied	Delong, Yosha R	1119354	Agent - Property
Active	Delong, Yosha R	1119354	Surplus Lines Broker - Not Applicable	4/8/2021
Active	Doroff, Elissa	668504	Independent Adjuster - Property & Casualty	3/21/2024
Active	Hughes, Forest Ingram	876593	Agent - Casualty	1/5/2021
Active	Hughes, Forest Ingram	876593	Agent - Property	1/5/2021
Active	Hughes, Forest Ingram	876593	Surplus Lines Broker - Not Applicable	1/5/2021