DEPARTMENT OF INSURANCE

Affiliations

Name	Kenworthy, Carol Dawn	DOIID	504907	NAIC NPN	7211793

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	8/15/2000	8/31/2021
Inactive	Resident	Agent	General Lines	6/20/2000	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	8/31/2021
Inactive	Resident	Agent	Health	12/7/2007	8/31/2021
Inactive	Resident	Agent	Life	12/7/2007	8/31/2021
* 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 Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	12/9/2002	12/6/2004
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	12/9/2002	12/6/2004
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	5/16/2006	1/15/2014
Inactive	American Zurich Insurance Company	300592	Agent - Property	5/16/2006	1/15/2014
Inactive	Assurance Company of America	300432	Agent - Casualty	5/16/2006	1/15/2014
Inactive	Assurance Company of America	300432	Agent - Property	5/16/2006	1/15/2014
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Casualty	10/30/2002	2/14/2005
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Property	10/30/2002	2/14/2005
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	10/30/2002	2/14/2005
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Property	10/30/2002	2/14/2005
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	10/30/2002	2/14/2005
Inactive	Cincinnati Insurance Company	301298	Agent - Property	10/30/2002	2/14/2005
Inactive	Continental Casualty Company	301019	Agent - Casualty	12/9/2002	12/6/2004
Inactive	Continental Casualty Company	301019	Agent - Property	12/9/2002	12/6/2004
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	10/20/2004	4/13/2011
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	9/24/2010	8/31/2021
Inactive	FB Insurance Company (The)	301763	Agent - Health	9/24/2010	4/9/2020
Inactive	FB Insurance Company (The)	301763	Agent - Property	9/24/2010	4/9/2020
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	1/22/2010	9/16/2010
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	1/22/2010	9/16/2010
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/15/2012	12/7/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/15/2012	12/7/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/15/2012	12/7/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/15/2012	12/7/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/15/2012	12/7/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/15/2012	12/7/2017
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	4/7/2008	11/20/2008
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	4/7/2008	11/20/2008
Inactive	Grange Insurance Company	300234	Agent - Casualty	4/7/2008	11/20/2008
Inactive	Grange Insurance Company	300234	Agent - Property	4/7/2008	11/20/2008
Inactive	Grange Life Insurance Company	300128	Agent - Health	4/7/2008	11/20/2008
Inactive	Grange Life Insurance Company	300128	Agent - Life	4/7/2008	11/20/2008
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	4/7/2008	11/20/2008
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	4/7/2008	11/20/2008
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	9/24/2010	4/9/2020
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	9/24/2010	4/9/2020
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	9/24/2010	4/9/2020
Inactive	Maryland Casualty Company	301719	Agent - Casualty	5/16/2006	1/15/2014
Inactive	Maryland Casualty Company	301719	Agent - Property	5/16/2006	1/15/2014
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	12/9/2002	12/6/2004
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	12/9/2002	12/6/2004
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	5/16/2006	1/15/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	5/16/2006	1/15/2014
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/20/2006	1/11/2010
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	6/20/2000	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	3/20/2006	1/11/2010
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	12/9/2002	12/6/2004
Inactive	Transcontinental Insurance Company	301731	Agent - Property	12/9/2002	12/6/2004
Inactive	Transportation Insurance Company	301575	Agent - Casualty	12/9/2002	12/6/2004
Inactive	Transportation Insurance Company	301575	Agent - Property	12/9/2002	12/6/2004
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	4/7/2008	11/20/2008
Inactive	Trustgard Insurance Company	300104	Agent - Property	4/7/2008	11/20/2008
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	12/9/2002	12/6/2004
Inactive	Valley Forge Insurance Company	301052	Agent - Property	12/9/2002	12/6/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gerald Schott Agency Inc. [The]	398924	Agent - Property	2/6/2007	9/15/2010
Inactive	Gerald Schott Agency Inc. [The]	398924	Agent - Casualty	7/21/2004	9/15/2010
Inactive	Plantside Holdings, Inc.	398775	Agent - Property	11/5/2002	1/24/2005
Inactive	Plantside Holdings, Inc.	398775	Agent - Casualty	11/5/2002	1/24/2005