DEPARTMENT OF INSURANCE

Affiliations

Name	Tjelmeland, Carol Jean	DOIID	334058	NAIC NPN	64123

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	General Lines	5/22/1998	8/15/2000
Inactive	Non Resident	Agent	Property	8/15/2000	8/31/2007
Inactive	Non Resident	Agent	Casualty	8/15/2000	8/31/2007
* 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 - Casualty	3/29/2005	8/31/2007
Inactive	ACE American Insurance Company	300625	Agent - Property	3/29/2005	8/31/2007
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	4/16/2004	8/31/2007
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	4/16/2004	8/31/2007
Inactive	Beazley Insurance Company, Inc.	300899	Agent - Casualty	12/13/2001	6/17/2005
Inactive	Beazley Insurance Company, Inc.	300899	Agent - Property	12/13/2001	6/17/2005
Inactive	Economy Premier Assurance Company	300703	Agent - Casualty	5/2/2001	8/31/2007
Inactive	Economy Premier Assurance Company	300703	Agent - Property	5/2/2001	8/31/2007
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	9/5/2000	8/31/2007
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	9/5/2000	8/31/2007
Inactive	Great American Insurance Company	301586	Agent - Casualty	5/16/2006	8/31/2007
Inactive	Great American Insurance Company	301586	Agent - Property	5/16/2006	8/31/2007
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	1/20/2004	8/31/2007
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	1/20/2004	8/31/2007
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	1/20/2004	8/31/2007
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	1/20/2004	8/31/2007
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	1/20/2004	8/31/2007
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	1/20/2004	8/31/2007
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	1/20/2004	8/31/2007
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	1/20/2004	8/31/2007
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	1/20/2004	8/31/2007
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	1/20/2004	8/31/2007
Inactive	Insurance Company of North America	300226	Agent - Casualty	3/29/2005	8/31/2007
Inactive	Insurance Company of North America	300226	Agent - Property	3/29/2005	8/31/2007
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	9/5/2000	8/31/2007
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	9/5/2000	8/31/2007
Inactive	Omni Indemnity Company	301456	Agent - Casualty	8/23/2004	8/31/2007
Inactive	Omni Indemnity Company	301456	Agent - Property	8/23/2004	8/31/2007
Inactive	Omni Insurance Company	301545	Agent - Casualty	8/23/2004	8/31/2007
Inactive	Omni Insurance Company	301545	Agent - Property	8/23/2004	8/31/2007
Inactive	Pharmacists Mutual Insurance Company	301292	Agent - Casualty	8/15/2000	8/31/2007
Inactive	Pharmacists Mutual Insurance Company	301292	Agent - General Lines	5/22/1998	8/15/2000
Inactive	Pharmacists Mutual Insurance Company	301292	Agent - Property	8/15/2000	8/31/2007
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	3/10/2005	8/31/2007
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	3/10/2005	8/31/2007
Inactive	Stillwater Insurance Company	567181	Agent - Casualty	7/21/2003	12/17/2003
Inactive	Stillwater Insurance Company	567181	Agent - Property	7/21/2003	12/17/2003
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	8/23/2004	8/31/2007
Inactive	Trumbull Insurance Company	300242	Agent - Property	8/23/2004	8/31/2007
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	1/20/2004	8/31/2007
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	1/20/2004	8/31/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PMC Advantage Insurance Services, Inc	399370	Agent - Property	1/5/2004	8/31/2007
Inactive	PMC Advantage Insurance Services, Inc	399370	Agent - Casualty	1/5/2004	8/31/2007