DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Black, Karen P	DOIID	340877	NAIC NPN	7187416

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	8/12/2008	7/1/2010
Active	Resident	Agent	Casualty	11/15/2018		10/31/2026
Active	Resident	Agent	Property	11/15/2018		10/31/2026
Active	Resident	Staff Adjuster	Property & Casualty	7/1/2010		10/31/2026
* 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	American Pet Insurance Company, Inc.	301240	Agent - Casualty	11/5/2021	2/18/2025
Inactive	American Pet Insurance Company, Inc.	301240	Agent - Property	11/5/2021	2/18/2025
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	11/21/2018	2/18/2025
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	11/21/2018	2/18/2025
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	11/21/2018	2/18/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allstate Insurance Company	300773	Adjuster - Independent	3/28/1990	4/7/2008
Inactive	Lisa Sams Insurance and Financial Services, Inc.	608106	Agent - Casualty	10/17/2019	2/18/2025
Inactive	Lisa Sams Insurance and Financial Services, Inc.	608106	Agent - Property	10/17/2019	2/18/2025