DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mazza, Louis F	DOIID	380810	NAIC NPN	401225

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	9/24/1998	5/31/2017
Inactive	Non Resident	Agent	Health	9/24/1998	5/31/2017
* 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	Amica Life Insurance Company	301676	Agent - Life	9/29/2000	9/12/2016
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	9/24/1998	12/12/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	9/24/1998	12/12/2006
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/28/2003	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/28/2003	12/30/2009
Inactive	Time Insurance Company	300683	Agent - Health	4/14/2003	3/22/2004
Inactive	Time Insurance Company	300683	Agent - Life	4/14/2003	3/22/2004
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/28/2003	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/28/2003	12/30/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Amica General Agency, LLC	509383	Agent - Life	3/21/2002	9/12/2016
Inactive	Amica General Agency, LLC	509383	Agent - Health	3/23/2001	12/30/2009