DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Balmer, Carrierenee Mitchell	DOIID	501278	NAIC NPN	2987057

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/1/2014	6/30/2022
Inactive	Non Resident	Agent	Health	10/1/2014	6/30/2022
Pending Replacement	Non Resident	Agent	Casualty	12/21/2022		6/30/2024
Pending Replacement	Non Resident	Agent	Property	12/21/2022		6/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2024	06/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Continental American Insurance Company	301700	Agent - Health	10/8/2014	2/2/2019
Inactive	Continental American Insurance Company	301700	Agent - Life	10/8/2014	2/2/2019
Inactive	National Casualty Company	301483	Agent - Casualty	11/4/2014	6/30/2022
Inactive	National Casualty Company	301483	Agent - Property	11/4/2014	6/30/2022
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/8/2017	7/29/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/8/2017	7/29/2021
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	11/12/2014	12/18/2020
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	11/12/2014	12/18/2020
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	12/29/1999	12/13/2001
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	12/29/1999	12/13/2001
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/8/2017	7/29/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/8/2017	7/29/2021
Inactive	Work First Casualty Company	300561	Agent - Health	7/17/2000	12/11/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	DVM Insurance Agency	636779	Agent - Property	11/5/2014	6/30/2022
Inactive	DVM Insurance Agency	636779	Agent - Casualty	11/5/2014	6/30/2022
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Life	1/15/2019	7/29/2021
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Health	1/15/2019	7/29/2021
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Property	1/15/2019	6/30/2022
Inactive	Mercer Health & Benefits Administration LLC	656414	Agent - Casualty	1/15/2019	6/30/2022