DEPARTMENT OF INSURANCE

Affiliations

Name	Cusick, Dena L	DOIID	730438	NAIC NPN	7063779

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/17/2010	10/31/2026
Active	Non Resident	Agent	Property	6/17/2010	10/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	10/14/2025	10/31/2026
* 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	08/15/2026	10/31/2026
Surplus Lines Broker	08/15/2026	10/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	10/19/2021
Active	ACE American Insurance Company	300625	Agent - Property	10/19/2021
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	11/2/2021
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	11/2/2021
Active	American Zurich Insurance Company	300592	Agent - Casualty	11/2/2021
Active	American Zurich Insurance Company	300592	Agent - Property	11/2/2021
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/5/2018	5/12/2021
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/5/2018	5/12/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/5/2018	5/12/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/5/2018	5/12/2021
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	6/5/2013	7/28/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	6/5/2013	7/28/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	6/5/2013	7/28/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	6/5/2013	7/28/2016
Inactive	Westfield Insurance Company	301950	Agent - Casualty	2/8/2024	5/30/2024
Inactive	Westfield Insurance Company	301950	Agent - Property	2/8/2024	5/30/2024
Inactive	Westfield Select Insurance Company	1203838	Agent - Casualty	2/8/2024	5/30/2024
Inactive	Westfield Select Insurance Company	1203838	Agent - Property	2/8/2024	5/30/2024
Active	Zurich American Insurance Company	301121	Agent - Casualty	11/2/2021
Active	Zurich American Insurance Company	301121	Agent - Property	11/2/2021
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	11/2/2021
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	11/2/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Marsh USA LLC.	514638	Agent - Property
Denied	Marsh USA LLC.	514638	Agent - Casualty
Denied	USI Insurance Services National, Inc	509421	Agent - Property
Denied	USI Insurance Services National, Inc	509421	Agent - Casualty
Inactive	Usi Insurance Services LLC	669260	Agent - Property	12/27/2018	12/13/2019
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	12/27/2018	12/13/2019