DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Massom, Dawn	DOIID	1194955	NAIC NPN	19153590

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	3/23/2022		10/31/2027
Active	Non Resident	Agent	Casualty	3/23/2022		10/31/2027
* 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	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	8/22/2025	8/31/2026
Inactive	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	8/22/2025	8/31/2026
Inactive	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	8/22/2025	8/31/2026
Inactive	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	8/22/2025	8/31/2026
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	5/7/2026
Active	Auto-Owners Insurance Company	301480	Agent - Property	5/7/2026
Inactive	Hanover American Insurance Company (The)	300447	Agent - Casualty	8/22/2025	8/31/2026
Inactive	Hanover American Insurance Company (The)	300447	Agent - Property	8/22/2025	8/31/2026
Inactive	Hanover Insurance Company (The)	300508	Agent - Casualty	8/22/2025	8/31/2026
Inactive	Hanover Insurance Company (The)	300508	Agent - Property	8/22/2025	8/31/2026
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Casualty	8/22/2025	8/31/2026
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Property	8/22/2025	8/31/2026
Inactive	Verlan Fire Insurance Company	517102	Agent - Casualty	8/22/2025	8/31/2026
Inactive	Verlan Fire Insurance Company	517102	Agent - Property	8/22/2025	8/31/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Acrisure LLC	696181	Agent - Casualty
Denied	Acrisure LLC	696181	Agent - Property
Denied	Acrisure Midwest Insurance Services, LLC	1271471	Agent - Casualty
Denied	Acrisure Midwest Insurance Services, LLC	1271471	Agent - Property