DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Carlson, Gene R	DOIID	671186	NAIC NPN	6844057

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	1/2/2008	6/30/2014
Inactive	Non Resident	Agent	Property	1/2/2008	6/30/2014
* 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	AMEX Assurance Company	301728	Agent - Casualty	8/22/2008	1/2/2013
Inactive	AMEX Assurance Company	301728	Agent - Property	8/22/2008	1/2/2013
Inactive	National General Insurance Company	300152	Agent - Casualty	3/6/2008	8/19/2008
Inactive	National General Insurance Company	300152	Agent - Property	3/6/2008	8/19/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Property	6/19/2008	1/2/2013
Inactive	Financial Insurance Services, Inc.	514710	Agent - Casualty	6/19/2008	1/2/2013