DEPARTMENT OF INSURANCE

Affiliations

Name	Mauzy, Jerry G	DOIID	370753	NAIC NPN	259901

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	8/15/2000		4/30/2026
Active	Resident	Agent	Life	4/16/1980		4/30/2026
Active	Resident	Agent	Property	8/15/2000		4/30/2026
Active	Resident	Agent	Health	4/16/1980		4/30/2026
Inactive	Resident	Agent	General Lines	10/1/1979	8/15/2000
Inactive	Resident	Agent	Credit Life & Health	11/23/1994	3/31/1999
Active	Resident	Surplus Lines Broker	Not Applicable	10/24/1979		4/30/2026
* 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	02/15/2026	04/30/2026
Surplus Lines Broker	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Acadia Insurance Company	557871	Agent - Casualty	3/15/2023
Active	Acadia Insurance Company	557871	Agent - Property	3/15/2023
Active	Allianz Global Risks US Insurance Company	301250	Agent - Casualty	12/23/2015
Active	Allianz Global Risks US Insurance Company	301250	Agent - Property	12/23/2015
Active	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/8/2019
Active	American Fire and Casualty Company	300567	Agent - Casualty	3/24/2004
Active	American Fire and Casualty Company	300567	Agent - Property	3/24/2004
Inactive	American Select Insurance Company	301229	Agent - Casualty	10/5/2000	5/19/2006
Inactive	American Select Insurance Company	301229	Agent - Property	10/5/2000	5/19/2006
Inactive	American and Foreign Insurance Company	301124	Agent - Casualty	8/15/2000	12/31/2004
Inactive	American and Foreign Insurance Company	301124	Agent - General Lines	2/20/1986	8/15/2000
Inactive	American and Foreign Insurance Company	301124	Agent - Property	8/15/2000	12/31/2004
Inactive	Arrowood Indemnity Company	300144	Agent - Casualty	8/15/2000	7/27/2007
Inactive	Arrowood Indemnity Company	300144	Agent - General Lines	2/20/1986	8/15/2000
Inactive	Arrowood Indemnity Company	300144	Agent - Property	8/15/2000	7/27/2007
Inactive	Assurance Company of America	300432	Agent - General Lines	10/13/1986	3/31/1996
Inactive	Bedivere Insurance Company	300710	Agent - General Lines	6/11/1992	3/31/1998
Active	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	6/1/2012
Active	BusinessFirst Insurance Company	722488	Agent - Casualty	1/11/2024
Inactive	CastlePoint National Insurance Company	300082	Agent - General Lines	6/11/1992	3/31/1998
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/15/2000	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	10/9/1997	8/15/2000
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/15/2000	10/13/2022
Active	Continental Western Insurance Company	300576	Agent - Casualty	3/15/2023
Active	Continental Western Insurance Company	300576	Agent - Property	3/15/2023
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	6/7/2016
Active	Employers Insurance Company of Wausau	301813	Agent - Property	6/7/2016
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	11/8/1995	3/31/1997
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	11/8/1995	3/31/1997
Active	Firemen's Insurance Company of Washington, D.C.	645553	Agent - Casualty	3/15/2023
Active	Firemen's Insurance Company of Washington, D.C.	645553	Agent - Property	3/15/2023
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	6/7/2016
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	6/7/2016
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	10/15/2021
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	10/15/2021
Inactive	General American Life Insurance Company	300280	Agent - Health	4/16/1980	5/30/2000
Inactive	General American Life Insurance Company	300280	Agent - Life	4/16/1980	5/30/2000
Active	General Insurance Company of America	300261	Agent - Casualty	6/5/2024
Active	General Insurance Company of America	300261	Agent - Property	6/5/2024
Inactive	Glatfelter Insurance Company	301640	Agent - General Lines	10/13/1986	3/31/1996
Inactive	Globe Indemnity Company	300507	Agent - Casualty	8/15/2000	12/31/2004
Inactive	Globe Indemnity Company	300507	Agent - General Lines	2/20/1986	8/15/2000
Inactive	Globe Indemnity Company	300507	Agent - Property	8/15/2000	12/31/2004
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/15/2000	3/20/2009
Inactive	Great American Insurance Company	301586	Agent - General Lines	3/11/1996	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	8/15/2000	3/20/2009
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	8/15/2000	3/20/2009
Inactive	Great American Insurance Company of New York	301897	Agent - General Lines	3/11/1996	8/15/2000
Inactive	Great American Insurance Company of New York	301897	Agent - Property	8/15/2000	3/20/2009
Inactive	Hanover Insurance Company (The)	300508	Agent - General Lines	6/24/1982	7/22/1998
Inactive	Hartford Steam Boiler Inspection and Insurance Company	300799	Agent - Casualty	8/15/2000	4/5/2002
Inactive	Hartford Steam Boiler Inspection and Insurance Company	300799	Agent - General Lines	4/13/1981	8/15/2000
Inactive	Hartford Steam Boiler Inspection and Insurance Company	300799	Agent - Property	8/15/2000	4/5/2002
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/15/2000	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - General Lines	10/9/1997	8/15/2000
Inactive	Indiana Insurance Company	301909	Agent - Property	8/15/2000	2/3/2023
Active	LM Insurance Corporation	301061	Agent - Casualty	6/7/2016
Active	LM Insurance Corporation	301061	Agent - Property	6/7/2016
Active	Liberty Insurance Corporation	300444	Agent - Casualty	6/7/2016
Active	Liberty Insurance Corporation	300444	Agent - Property	6/7/2016
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	6/7/2016
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	6/7/2016
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	6/7/2016
Active	Liberty Mutual Insurance Company	301159	Agent - Property	6/7/2016
Inactive	Manhattan National Life Insurance Company	301011	Agent - Life	5/7/1997	10/11/1999
Inactive	Maryland Casualty Company	301719	Agent - General Lines	10/10/1986	3/31/1996
Inactive	Nassau Life Insurance Company	301406	Agent - Health	11/4/1987	3/31/1997
Inactive	Nassau Life Insurance Company	301406	Agent - Life	11/4/1987	3/31/1997
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	11/23/1994	3/31/1999
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/15/2000	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	10/9/1997	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/15/2000	4/26/2024
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	11/1/1994	3/31/1997
Inactive	Northern Insurance Company of New York	301317	Agent - General Lines	10/10/1986	3/31/1996
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	3/24/2004
Active	Ohio Casualty Insurance Company	301492	Agent - Property	3/24/2004
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	8/15/2000	8/25/2009
Inactive	Ohio Farmers Insurance Company	301667	Agent - General Lines	10/1/1979	8/15/2000
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	8/15/2000	8/25/2009
Active	Ohio Security Insurance Company	300622	Agent - Casualty	3/24/2004
Active	Ohio Security Insurance Company	300622	Agent - Property	3/24/2004
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/3/2021	6/14/2021
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	8/16/1982	3/31/1997
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	8/16/1982	3/31/1997
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/15/2000	5/8/2025
Inactive	Peerless Insurance Company	301910	Agent - General Lines	10/9/1997	8/15/2000
Inactive	Peerless Insurance Company	301910	Agent - Property	8/15/2000	5/8/2025
Inactive	Pennsylvania Insurance Company	301219	Agent - General Lines	6/11/1992	3/31/1998
Inactive	Reliance Insurance Company	300785	Agent - Health	10/24/1995	4/12/1996
Inactive	Royal Insurance Company of America	301120	Agent - Casualty	8/15/2000	12/31/2004
Inactive	Royal Insurance Company of America	301120	Agent - General Lines	2/3/1986	8/15/2000
Inactive	Royal Insurance Company of America	301120	Agent - Property	8/15/2000	12/31/2004
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008
Active	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008
Inactive	Safeguard Insurance Company	300800	Agent - Casualty	3/23/2001	12/31/2004
Inactive	Safeguard Insurance Company	300800	Agent - Property	3/23/2001	12/31/2004
Inactive	Security Insurance Company of Hartford	300973	Agent - Casualty	12/31/2004	7/27/2007
Inactive	Security Insurance Company of Hartford	300973	Agent - Property	12/31/2004	7/27/2007
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	10/6/1998	1/24/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	10/6/1998	11/19/2002
Inactive	Time Insurance Company	300683	Agent - Health	6/28/2004	5/15/2014
Inactive	Time Insurance Company	300683	Agent - Life	6/28/2004	5/15/2014
Active	Tri-State Insurance Company of Minnesota	663528	Agent - Casualty	3/15/2023
Active	Tri-State Insurance Company of Minnesota	663528	Agent - Property	3/15/2023
Active	Union Insurance Company	547433	Agent - Casualty	3/15/2023
Active	Union Insurance Company	547433	Agent - Property	3/15/2023
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	8/15/2000	2/20/2004
Inactive	United States Fidelity and Guaranty Company	301449	Agent - General Lines	10/31/1986	8/15/2000
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	8/15/2000	12/18/2003
Active	West American Insurance Company	301112	Agent - Casualty	3/24/2004
Active	West American Insurance Company	301112	Agent - Property	3/24/2004
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/3/2021	6/14/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	8/15/2000
Inactive	Westfield Insurance Company	301950	Agent - General Lines	9/11/1987	8/15/2000
Active	Westfield Insurance Company	301950	Agent - Property	8/15/2000
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	10/5/2000	8/25/2009
Inactive	Westfield National Insurance Company	301036	Agent - Property	10/5/2000	8/25/2009
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/3/2021	6/14/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/3/2021	6/14/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/3/2021	6/14/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mauzy & Associates Inc	398815	Agent - General Lines	12/1/1980	8/15/2000
Denied	Mauzy & Associates Inc	398815	Agent - Life
Denied	Mauzy & Associates Inc	398815	Agent - Health
Active	Mauzy & Associates Inc	398815	Agent - Property	6/6/2022
Active	Mauzy & Associates Inc	398815	Agent - Casualty	6/6/2022