DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Carson, Donald Richard	DOIID	1320221	NAIC NPN	16140835

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/22/2024		7/31/2025
Active	Non Resident	Agent	Property	1/22/2024		7/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/22/2024		7/31/2025
* 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	05/15/2025	07/31/2025
Surplus Lines Broker	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	2/6/2024
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	2/6/2024
Active	American Zurich Insurance Company	300592	Agent - Casualty	2/6/2024
Active	American Zurich Insurance Company	300592	Agent - Property	2/6/2024
Active	Zurich American Insurance Company	301121	Agent - Casualty	2/6/2024
Active	Zurich American Insurance Company	301121	Agent - Property	2/6/2024
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	2/6/2024
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	2/6/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CRC Ins Services, LLC	502276	Agent - Casualty	2/6/2024
Active	CRC Ins Services, LLC	502276	Agent - Property	2/6/2024
Active	CRC Ins Services, LLC	502276	Surplus Lines Broker - Not Applicable	1/30/2024