DEPARTMENT OF INSURANCE

Affiliations

Name	Davidson, Carlotta A	DOIID	820615	NAIC NPN	17058264

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	4/28/2016		5/31/2026
Active	Non Resident	Agent	Casualty	4/28/2016		5/31/2026
Inactive	Non Resident	Agent	Health	9/13/2013	7/6/2015
* 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	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	8/3/2025
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	8/3/2025
Active	American Modern Home Insurance Company	300791	Agent - Casualty	6/21/2020
Active	American Modern Home Insurance Company	300791	Agent - Property	6/21/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	2/17/2022
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	2/17/2022
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	5/6/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	5/6/2016	11/14/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/24/2014	8/8/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/24/2014	8/8/2015
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/26/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/26/2018
Active	Homesite Insurance Company	301139	Agent - Casualty	4/29/2016
Active	Homesite Insurance Company	301139	Agent - Property	4/29/2016
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	7/11/2017
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	7/11/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	8/8/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/16/2013	8/8/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/16/2013	8/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	9/16/2013	8/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/16/2013	8/8/2015
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	8/8/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/24/2014	8/8/2015
Active	Midvale Indemnity Company	300292	Agent - Casualty	5/1/2019
Active	Midvale Indemnity Company	300292	Agent - Property	5/1/2019
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Casualty	5/6/2016	11/14/2021
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Property	5/6/2016	11/14/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	9/17/2025
Active	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	9/17/2025