DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Eiring, Carla Bisgaard	DOIID	1180896	NAIC NPN	5731431

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/3/2022		10/31/2024
Active	Non Resident	Agent	Casualty	1/3/2022		10/31/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/3/2022		10/31/2024
* 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	08/15/2024	10/31/2024
Surplus Lines Broker	08/15/2024	10/31/2024

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	2/14/2022
Active	AIG Property Casualty Company	300621	Agent - Property	2/14/2022
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	2/14/2022
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	2/14/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Private Client Select Insurance Services LLC	1242047	Agent - Casualty	2/21/2024
Active	Private Client Select Insurance Services LLC	1242047	Agent - Property	2/21/2024
Active	Private Client Select Insurance Services LLC	1242047	Surplus Lines Broker - Not Applicable	2/21/2024
Inactive	Risk Specialists Companies Ins Agency Inc	669694	Agent - Casualty	3/10/2022	2/8/2024
Inactive	Risk Specialists Companies Ins Agency Inc	669694	Agent - Property	3/10/2022	2/8/2024
Active	Risk Specialists Companies Ins Agency Inc	669694	Surplus Lines Broker - Not Applicable	3/10/2022