DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ward, Karmen D	DOIID	618317	NAIC NPN	8555845

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/20/2005	4/30/2014
Inactive	Non Resident	Agent	Casualty	10/20/2005	4/30/2014
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	4/3/2008	4/30/2014
Inactive	Capitol Indemnity Corporation	301030	Agent - Casualty	9/25/2008	12/6/2013
Inactive	Capitol Indemnity Corporation	301030	Agent - Property	9/25/2008	12/6/2013
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	8/18/2011	5/13/2014
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	8/18/2011	5/13/2014
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	6/19/2008	5/29/2013
Inactive	Selective Insurance Company of America	500018	Agent - Property	6/19/2008	5/29/2013
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	6/19/2008	5/29/2013
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	6/19/2008	5/29/2013
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	6/19/2008	5/28/2014
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	6/19/2008	5/28/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acrisure LLC	696181	Agent - Casualty	10/17/2011	4/30/2014
Inactive	Acrisure LLC	696181	Agent - Property	10/17/2011	4/30/2014
Denied	United Ins Agencies Inc	559759	Agent - Casualty
Denied	United Ins Agencies Inc	559759	Agent - Property