DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Peterson, Carole Ann	DOIID	641445	NAIC NPN	5412603

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/10/2006	2/28/2011
Inactive	Non Resident	Agent	Property	10/10/2006	2/28/2011
* 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	National Liability & Fire Insurance Company	300213	Agent - Casualty	11/1/2006	2/28/2011
Inactive	National Liability & Fire Insurance Company	300213	Agent - Property	11/1/2006	2/28/2011
Inactive	Starr Indemnity and Liability Company	301685	Agent - Casualty	4/29/2009	2/28/2011
Inactive	Starr Indemnity and Liability Company	301685	Agent - Property	4/29/2009	2/28/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Starr Marine Agency Inc	634403	Agent - Casualty	3/19/2007	10/4/2010
Inactive	Starr Marine Agency Inc	634403	Agent - Property	3/19/2007	10/4/2010