DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Carlson, Kimberly	DOIID	633093	NAIC NPN	7732626

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	5/30/2006	5/31/2021
Inactive	Non Resident	Agent	Casualty	5/30/2006	5/31/2021
* 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	Mitsui Sumitomo Insurance Company of America	301070	Agent - Casualty	4/7/2017	5/31/2021
Inactive	Mitsui Sumitomo Insurance Company of America	301070	Agent - Property	4/7/2017	5/31/2021
Inactive	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Casualty	4/7/2017	5/31/2021
Inactive	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Property	4/7/2017	5/31/2021
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	10/28/2019	10/8/2020
Inactive	QBE Insurance Corporation	300515	Agent - Property	10/28/2019	10/8/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Marsh USA LLC.	514638	Agent - Property	2/20/2019	5/31/2021
Inactive	Marsh USA LLC.	514638	Agent - Casualty	2/20/2019	5/31/2021