DEPARTMENT OF INSURANCE
Affiliations
NameForren, Carol RickmanDOIID567987NAIC NPN3077940
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentCasualty4/11/20033/31/2014 
InactiveNon ResidentAgentLife11/11/20083/31/2014 
InactiveNon ResidentAgentProperty4/11/20033/31/2014 
InactiveNon ResidentAgentHealth11/11/20083/31/2014 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveNationwide General Insurance Company300603Agent - Casualty5/11/20057/24/2008
InactiveNationwide General Insurance Company300603Agent - Property5/11/20057/24/2008
InactiveNationwide Life Insurance Company300495Agent - Health11/18/20084/13/2010
InactiveNationwide Life Insurance Company300495Agent - Life11/18/20084/13/2010
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life11/18/20084/13/2010
InactiveNationwide Mutual Fire Insurance Company301722Agent - Casualty4/22/20037/24/2008
InactiveNationwide Mutual Fire Insurance Company301722Agent - Property4/22/20037/24/2008
InactiveNationwide Mutual Insurance Company301749Agent - Casualty4/22/20035/31/2013
InactiveNationwide Mutual Insurance Company301749Agent - Property4/22/20035/31/2013
InactiveNationwide Property and Casualty Insurance Company300599Agent - Casualty4/22/20037/24/2008
InactiveNationwide Property and Casualty Insurance Company300599Agent - Property4/22/20037/24/2008
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveNationwide Sales Solutions Inc631821Agent - Casualty1/22/20075/31/2013
InactiveNationwide Sales Solutions Inc631821Agent - Property1/22/20075/31/2013

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