DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wadsworth, Mary Bibianne	DOIID	627541	NAIC NPN	2439640

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/8/2006	4/30/2012
Inactive	Non Resident	Agent	Casualty	3/8/2006	4/30/2012
* 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	American Home Assurance Company	300246	Agent - Casualty	8/15/2006	4/30/2012
Inactive	American Home Assurance Company	300246	Agent - Property	8/15/2006	4/30/2012
Inactive	Arch Insurance Company	300688	Agent - Casualty	3/5/2010	4/30/2012
Inactive	Arch Insurance Company	300688	Agent - Property	3/5/2010	4/30/2012
Inactive	Commerce and Industry Insurance Company	300881	Agent - Casualty	8/15/2006	4/30/2012
Inactive	Commerce and Industry Insurance Company	300881	Agent - Property	8/15/2006	4/30/2012
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	8/15/2006	4/30/2012
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Property	8/15/2006	4/30/2012
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	8/15/2006	4/30/2012
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	8/15/2006	4/30/2012

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	10/16/2006	6/15/2011
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	10/16/2006	6/15/2011