DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Van Bemmel, Carol A	DOIID	315168	NAIC NPN	245896

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/29/1996	8/31/2014
Inactive	Non Resident	Agent	Property	5/24/2007	8/31/2014
Inactive	Non Resident	Agent	Personal Lines	7/28/2003	8/31/2014
Inactive	Non Resident	Agent	Casualty	5/24/2007	8/31/2014
Inactive	Non Resident	Agent	Health	2/29/1996	8/31/2014
* 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
Inactive	ACE American Insurance Company	300625	Agent - Personal Lines	9/11/2006	9/19/2008
Inactive	AMEX Assurance Company	301728	Agent - Casualty	8/10/2010	1/2/2013
Inactive	AMEX Assurance Company	301728	Agent - Health	8/10/2010	1/2/2013
Inactive	AMEX Assurance Company	301728	Agent - Property	8/10/2010	1/2/2013
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	9/20/2004	12/26/2007
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	9/20/2004	12/26/2007
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Health	6/18/2003	11/29/2011
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Life	6/18/2003	11/29/2011
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Personal Lines	8/26/2004	11/29/2011
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	3/2/2009	1/17/2013
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	3/2/2009	1/17/2013
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	8/18/2005	8/31/2014
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	2/29/1996	11/8/2004
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	2/29/1996	11/8/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	12/21/2009	5/4/2011
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	12/21/2009	5/4/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Life	10/22/2001	1/8/2013
Inactive	Financial Insurance Services, Inc.	514710	Agent - Health	10/22/2001	1/8/2013
Inactive	Financial Insurance Services, Inc.	514710	Agent - Personal Lines	10/18/2011	2/4/2013
Inactive	Financial Insurance Services, Inc.	514710	Agent - Property	1/14/2011	1/2/2013
Inactive	Financial Insurance Services, Inc.	514710	Agent - Casualty	1/14/2011	1/2/2013