DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bennett, Laura Joanna	DOIID	634748	NAIC NPN	8061049

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	6/26/2006	3/31/2018
Inactive	Non Resident	Agent	Property	6/26/2006	3/31/2018
Inactive	Non Resident	Independent Adjuster	Property & Casualty	4/2/2013	3/31/2018
* 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 Modern Home Insurance Company	300791	Agent - Casualty	6/18/2012	10/4/2017
Inactive	American Modern Home Insurance Company	300791	Agent - Property	6/18/2012	10/4/2017
Inactive	RLI Insurance Company	301217	Agent - Casualty	5/1/2010	6/11/2014
Inactive	RLI Insurance Company	301217	Agent - Property	5/1/2010	6/11/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Embrace Pet Ins LLC	723377	Agent - Property	2/23/2010	7/6/2017
Inactive	Embrace Pet Ins LLC	723377	Agent - Casualty	2/23/2010	7/6/2017