DEPARTMENT OF INSURANCE
Affiliations
NameFord, Carrie AnnDOIID1358037NAIC NPN7821256
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth8/27/2024 8/31/2026
ActiveNon ResidentAgentLife8/27/2024 8/31/2026
ActiveNon ResidentAgentProperty8/27/2024 8/31/2026
ActiveNon ResidentAgentCasualty8/27/2024 8/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent06/15/202608/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAmerican Guarantee and Liability Insurance Company301216Agent - Casualty9/17/2024 
ActiveAmerican Guarantee and Liability Insurance Company301216Agent - Property9/17/2024 
ActiveAmerican Zurich Insurance Company300592Agent - Casualty9/17/2024 
ActiveAmerican Zurich Insurance Company300592Agent - Property9/17/2024 
ActiveZurich American Insurance Company301121Agent - Casualty9/17/2024 
ActiveZurich American Insurance Company301121Agent - Property9/17/2024 
ActiveZurich American Insurance Company of Illinois301805Agent - Casualty9/17/2024 
ActiveZurich American Insurance Company of Illinois301805Agent - Property9/17/2024 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAon Private Risk Management Insurance Agency, Inc.514711Agent - Casualty9/25/2024 
ActiveAon Private Risk Management Insurance Agency, Inc.514711Agent - Property9/25/2024 

© Commonwealth of Kentucky. All rights reserved.