DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Carbajal, Isaac	DOIID	1020640	NAIC NPN	18969244

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	11/29/2018	1/31/2020
* 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	Bristol West Insurance Company	301655	Agent - Personal Lines	5/2/2019	1/31/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Personal Lines	5/2/2019	1/31/2020
Inactive	Progressive Casualty Insurance Company	300696	Agent - Personal Lines	4/9/2019	1/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	SSB Ins Services LLC	747630	Agent - Personal Lines	4/9/2019	1/31/2020