DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Gustafson, Melissa	DOIID	1174547	NAIC NPN	6535273

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/29/2021	11/10/2022
Inactive	Non Resident	Agent	Casualty	11/29/2021	11/10/2022
* 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	Fireman's Fund Insurance Company	301423	Agent - Casualty	12/29/2021	11/10/2022
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	12/29/2021	11/10/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	12/29/2021	5/25/2022
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	12/29/2021	5/25/2022