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.

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