DEPARTMENT OF INSURANCE

Affiliations

Name	Carney, Jan-Michael	DOIID	659466	NAIC NPN	7623515

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	7/12/2007	8/31/2009
Inactive	Non Resident	Agent	Casualty	7/12/2007	8/31/2009
* 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 Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	8/31/2009
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	8/31/2009
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	7/3/2008	8/31/2009
Inactive	Bristol West Insurance Company	301655	Agent - Property	7/3/2008	8/31/2009
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	8/31/2009
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	8/31/2009
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	5/5/2008	10/7/2009
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	5/5/2008	10/7/2009
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/5/2008	8/31/2009
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/5/2008	8/31/2009
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	8/31/2009
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	8/31/2009
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	5/5/2008	10/7/2009
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	5/5/2008	10/7/2009
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	8/31/2009
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	8/31/2009
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	8/31/2009
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	8/31/2009
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	8/31/2009
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	8/31/2009
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008	8/31/2009
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008	8/31/2009
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008	8/31/2009
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2008	8/31/2009
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	8/31/2009
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	8/31/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	NBS Insurance Agency Inc	515576	Agent - Property	5/5/2008	8/31/2009
Inactive	NBS Insurance Agency Inc	515576	Agent - Casualty	5/5/2008	8/31/2009