DEPARTMENT OF INSURANCE

Affiliations

Name	Carroll, Susan Elizabeth	DOIID	344662	NAIC NPN	579112

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	General Lines	4/23/1997	8/15/2000
Inactive	Non Resident	Agent	Property	8/15/2000	11/30/2012
Inactive	Non Resident	Agent	Casualty	8/15/2000	11/30/2012
* 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	8/15/2000	11/30/2012
Inactive	ACE American Insurance Company	300625	Agent - General Lines	5/27/1997	8/15/2000
Inactive	ACE American Insurance Company	300625	Agent - Property	8/15/2000	11/30/2012
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	8/15/2000	3/2/2004
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - General Lines	5/27/1997	8/15/2000
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	8/15/2000	3/2/2004
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - General Lines	5/27/1997	8/15/2000
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	8/15/2000	11/30/2012
Inactive	Indemnity Insurance Company of North America	301760	Agent - General Lines	5/27/1997	8/15/2000
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	8/15/2000	11/30/2012
Inactive	Insurance Company of North America	300226	Agent - Casualty	8/15/2000	12/22/2010
Inactive	Insurance Company of North America	300226	Agent - General Lines	4/23/1997	8/15/2000
Inactive	Insurance Company of North America	300226	Agent - Property	8/15/2000	12/22/2010
Inactive	North Pointe Insurance Company	301029	Agent - Casualty	5/11/2011	11/30/2012
Inactive	North Pointe Insurance Company	301029	Agent - Property	5/11/2011	11/30/2012
Inactive	Old Republic Insurance Company	301225	Agent - Casualty	5/31/2006	5/2/2012
Inactive	Old Republic Insurance Company	301225	Agent - Property	5/31/2006	5/2/2012
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	8/15/2000	3/2/2004
Inactive	Pacific Employers Insurance Company	301753	Agent - General Lines	5/27/1997	8/15/2000
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	8/15/2000	3/2/2004
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	5/11/2011	11/30/2012
Inactive	Praetorian Insurance Company	301021	Agent - Property	5/11/2011	11/30/2012
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	5/11/2011	11/30/2012
Inactive	QBE Insurance Corporation	300515	Agent - Property	5/11/2011	11/30/2012
Inactive	U.S. Specialty Insurance Company	300186	Agent - Casualty	8/15/2000	8/3/2006
Inactive	U.S. Specialty Insurance Company	300186	Agent - General Lines	6/13/2000	8/15/2000
Inactive	U.S. Specialty Insurance Company	300186	Agent - Property	8/15/2000	8/3/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HUB International Northwest, LLC	631011	Agent - Property	3/27/2007	11/30/2012
Inactive	HUB International Northwest, LLC	631011	Agent - Casualty	3/27/2007	11/30/2012
Inactive	Westar Insurance Managers, Inc.	536871	Agent - Property	10/1/2001	1/23/2007
Inactive	Westar Insurance Managers, Inc.	536871	Agent - Casualty	10/1/2001	1/23/2007