DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Larson, Dennis	DOIID	1230435	NAIC NPN	20165618

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	9/16/2022		8/31/2025
Active	Non Resident	Agent	Casualty	9/16/2022		8/31/2025
* 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	Independence American Insurance Company	524747	Agent - Casualty	11/13/2023
Active	Independence American Insurance Company	524747	Agent - Property	11/13/2023
Active	United States Fire Insurance Company	582240	Agent - Casualty	11/17/2022
Active	United States Fire Insurance Company	582240	Agent - Property	11/17/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Pumpkin Insurance Services Inc	1034415	Agent - Casualty	11/17/2022
Active	Pumpkin Insurance Services Inc	1034415	Agent - Property	11/17/2022