DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bascom, Carol A	DOIID	534988	NAIC NPN	3479706

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	8/3/2001	8/30/2004
Active	Non Resident	Independent Adjuster	Property & Casualty	11/16/2011		3/31/2027
* 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
Independent Adjuster	01/15/2025	03/31/2025	02/04/2025	02/04/2025	Yes

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Esis, Incorporated	398029	Independent Adjuster - Property & Casualty	8/29/2023
Inactive	Great American Insurance Company	301586	Adjuster - Independent	8/3/2001	8/30/2004