DEPARTMENT OF INSURANCE

Affiliations

Name	Cannon, Karen M	DOIID	662074	NAIC NPN	6852863

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	11/5/2009	6/30/2026
Active	Non Resident	Agent	Property	8/17/2007	6/30/2026
Active	Non Resident	Agent	Casualty	8/17/2007	6/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2024	06/30/2024	05/28/2024	05/28/2024	Yes

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	7/28/2014	3/14/2024
Inactive	American Fire and Casualty Company	300567	Agent - Property	7/28/2014	3/14/2024
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/25/2012	11/27/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/25/2012	11/27/2017
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	7/28/2014	3/14/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	7/28/2014	3/14/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/25/2012	6/29/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/25/2012	6/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	2/14/2013	6/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	2/14/2013	6/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	2/14/2013	6/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	2/14/2013	6/29/2018
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Casualty	11/18/2010	5/1/2012
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Property	11/18/2010	5/1/2012
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	9/1/2011	12/18/2015
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	9/1/2011	12/18/2015
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	3/23/2011	12/17/2014
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	3/23/2011	12/17/2014
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	4/25/2010	12/7/2012
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	4/25/2010	12/7/2012
Inactive	Indiana Insurance Company	301909	Agent - Casualty	7/28/2014	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	7/28/2014	2/3/2023
Active	Medical Protective Company (The)	301207	Agent - Casualty	9/29/2020
Active	Medical Protective Company (The)	301207	Agent - Property	9/29/2020
Inactive	NCMIC Insurance Company	301007	Agent - Casualty	8/23/2007	9/16/2020
Inactive	NCMIC Insurance Company	301007	Agent - Property	8/23/2007	9/16/2020
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	5/1/2012	9/3/2020
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	5/1/2012	9/3/2020
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	7/28/2014	3/14/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	7/28/2014	3/14/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	7/28/2014	5/27/2022
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	7/28/2014	5/27/2022
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	7/28/2014	3/14/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Property	7/28/2014	3/14/2024
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	7/28/2014	3/14/2024
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	7/28/2014	3/14/2024
Inactive	Peerless Insurance Company	301910	Agent - Casualty	7/28/2014	3/14/2024
Inactive	Peerless Insurance Company	301910	Agent - Property	7/28/2014	3/14/2024
Inactive	Professional Solutions Insurance Company	569414	Agent - Casualty	8/23/2007	9/16/2020
Inactive	Professional Solutions Insurance Company	569414	Agent - Property	8/23/2007	9/16/2020
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	12/4/2012	6/27/2019
Inactive	Selective Insurance Company of America	500018	Agent - Property	12/4/2012	6/27/2019
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	12/4/2012	6/27/2019
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	12/4/2012	6/27/2019
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	12/4/2012	6/27/2019
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	12/4/2012	6/27/2019
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	5/5/2014	12/18/2015
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	5/5/2014	12/18/2015
Inactive	West American Insurance Company	301112	Agent - Casualty	7/28/2014	3/14/2024
Inactive	West American Insurance Company	301112	Agent - Property	7/28/2014	3/14/2024
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	9/9/2009	2/27/2014
Inactive	Westfield National Insurance Company	301036	Agent - Property	9/9/2009	2/27/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	NCMIC Insurance Services, Inc.	399052	Agent - Casualty	4/18/2011	3/1/2017
Inactive	NCMIC Insurance Services, Inc.	399052	Agent - Property	4/18/2011	3/1/2017
Denied	NCMIC Insurance Services, Inc.	399052	Agent - Personal Lines
Inactive	Professional Solutions Insurance Services, Inc	631015	Agent - Casualty	4/18/2011	3/1/2017
Inactive	Professional Solutions Insurance Services, Inc	631015	Agent - Property	4/18/2011	3/1/2017