DEPARTMENT OF INSURANCE

Affiliations

Name	Carson, Samuel	DOIID	1049032	NAIC NPN	16865710

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/29/2019	3/31/2026
Active	Non Resident	Agent	Property	7/29/2019	3/31/2026
Active	Non Resident	Agent	Health	7/29/2019	3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/23/2020	3/31/2026
* 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	01/15/2026	03/31/2026
Surplus Lines Broker	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AIG Property Casualty Company	300621	Agent - Casualty	4/19/2020
Active	AIG Property Casualty Company	300621	Agent - Property	4/19/2020
Active	Arch Indemnity Insurance Company	301459	Agent - Casualty	11/2/2021
Active	Arch Indemnity Insurance Company	301459	Agent - Property	11/2/2021
Active	Arch Insurance Company	300688	Agent - Casualty	4/17/2020
Active	Arch Insurance Company	300688	Agent - Property	4/17/2020
Active	Argonaut-Midwest Insurance Company	301308	Agent - Casualty	5/6/2020
Active	Argonaut-Midwest Insurance Company	301308	Agent - Property	5/6/2020
Active	Atain Insurance Company	681449	Agent - Casualty	8/4/2020
Active	Atain Insurance Company	681449	Agent - Property	8/4/2020
Active	Berkley Casualty Company	300731	Agent - Casualty	1/12/2023
Active	Berkley Casualty Company	300731	Agent - Property	1/12/2023
Active	Berkley Regional Insurance Company	300920	Agent - Casualty	12/1/2022
Active	Berkley Regional Insurance Company	300920	Agent - Property	12/1/2022
Active	Canal Insurance Company	301360	Agent - Casualty	1/17/2023
Active	Canal Insurance Company	301360	Agent - Property	1/17/2023
Inactive	Capitol Indemnity Corporation	301030	Agent - Casualty	11/4/2019	6/5/2024
Inactive	Capitol Indemnity Corporation	301030	Agent - Property	11/4/2019	6/5/2024
Active	Colony Specialty Insurance Company	724901	Agent - Casualty	5/6/2020
Active	Colony Specialty Insurance Company	724901	Agent - Property	5/6/2020
Active	Contractors Bonding and Insurance Company	300184	Agent - Casualty	9/12/2023
Active	Contractors Bonding and Insurance Company	300184	Agent - Property	9/12/2023
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	4/8/2020
Active	Fireman's Fund Insurance Company	301423	Agent - Property	4/8/2020
Active	HDI Global Insurance Company	676678	Agent - Casualty	1/2/2024
Active	HDI Global Insurance Company	676678	Agent - Property	1/2/2024
Active	Hudson Insurance Company	523144	Agent - Casualty	12/2/2020
Active	Hudson Insurance Company	523144	Agent - Property	12/2/2020
Active	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	8/5/2020
Active	Mount Vernon Fire Insurance Company	301397	Agent - Property	8/5/2020
Active	National Surety Corporation	300087	Agent - Casualty	4/8/2020
Active	National Surety Corporation	300087	Agent - Property	4/8/2020
Active	RLI Insurance Company	301217	Agent - Casualty	8/19/2019
Active	RLI Insurance Company	301217	Agent - Property	8/19/2019
Inactive	Underwriters at Lloyd's, London	300658	Agent - Casualty	4/27/2020	12/14/2023
Inactive	Underwriters at Lloyd's, London	300658	Agent - Property	4/27/2020	12/14/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Burns & Wilcox Ltd	525929	Agent - Casualty	10/2/2019
Active	Burns & Wilcox Ltd	525929	Agent - Property	10/2/2019
Active	Burns & Wilcox Ltd	525929	Surplus Lines Broker - Not Applicable	4/3/2020