DEPARTMENT OF INSURANCE

Affiliations

Name	Carrico, Donald Harris	DOIID	353283	NAIC NPN	7192866

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	7/20/1981	12/1/2013
Inactive	Resident	Agent	General Lines	7/20/1981	8/15/2000
Inactive	Resident	Agent	Life	7/20/1981	12/1/2013
Inactive	Resident	Agent	Casualty	8/15/2000	12/1/2013
Inactive	Resident	Agent	Property	8/15/2000	12/1/2013
* 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 Property and Casualty Insurance Company	300520	Agent - General Lines	7/12/1984	3/31/1996
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	5/10/2002	6/2/2004
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	5/10/2002	6/2/2004
Inactive	Beazley Insurance Company, Inc.	300899	Agent - Casualty	8/15/2000	7/14/2005
Inactive	Beazley Insurance Company, Inc.	300899	Agent - General Lines	7/24/1998	8/15/2000
Inactive	Beazley Insurance Company, Inc.	300899	Agent - Property	8/15/2000	7/14/2005
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	3/17/2011	4/25/2013
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/17/2011	4/25/2013
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	2/2/2006	11/1/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	9/8/2010
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/26/2006	4/26/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/26/2006	4/26/2013
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/19/2005	2/8/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/19/2005	2/8/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2009	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Health	9/26/2006	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Life	9/26/2006	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/26/2006	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/26/2006	9/8/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/26/2006	9/8/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/26/2006	9/8/2010
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/20/2001	1/24/2005
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/14/2005	4/29/2013
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	11/14/2005	4/29/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	11/14/2005	4/29/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	11/14/2005	4/29/2013
Inactive	Sagamore Insurance Company	300942	Agent - Casualty	10/6/2009	4/4/2013
Inactive	Sagamore Insurance Company	300942	Agent - Property	10/6/2009	4/4/2013
Inactive	Shelter General Insurance Company	301109	Agent - Casualty	3/25/2013	11/26/2013
Inactive	Shelter General Insurance Company	301109	Agent - General Lines	7/20/1981	8/15/2000
Inactive	Shelter General Insurance Company	301109	Agent - Property	3/25/2013	11/26/2013
Inactive	Shelter Life Insurance Company	300391	Agent - Health	3/25/2013	11/26/2013
Inactive	Shelter Life Insurance Company	300391	Agent - Life	3/25/2013	11/26/2013
Inactive	Shelter Mutual Insurance Company	301870	Agent - Casualty	3/25/2013	11/26/2013
Inactive	Shelter Mutual Insurance Company	301870	Agent - General Lines	7/20/1981	8/15/2000
Inactive	Shelter Mutual Insurance Company	301870	Agent - Property	3/25/2013	11/26/2013
Inactive	State Life Insurance Company	301497	Agent - Health	5/7/2002	12/1/2013
Inactive	State Life Insurance Company	301497	Agent - Life	5/7/2002	12/1/2013
Inactive	Time Insurance Company	300683	Agent - Health	2/24/1994	3/31/1997
Inactive	Time Insurance Company	300683	Agent - Life	2/24/1994	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Life	3/25/2013	11/26/2013
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Health	3/25/2013	11/26/2013
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Property	3/25/2013	11/26/2013
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Casualty	3/25/2013	11/26/2013
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Medlink Inc	400721	Agent - Life	4/29/2003	12/1/2013
Inactive	Medlink Inc	400721	Agent - Health	4/29/2003	12/1/2013