DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Keller, Carrie Anna	DOIID	671452	NAIC NPN	10094976

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Personal Lines	1/7/2008		8/31/2024
Pending Replacement	Non Resident	Agent	Casualty	5/16/2016		8/31/2024
Pending Replacement	Non Resident	Agent	Property	5/16/2016		8/31/2024
* 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	Encompass Indemnity Company	546376	Agent - Personal Lines	3/2/2015	9/5/2023
Inactive	Encompass Insurance Company of America	556578	Agent - Personal Lines	3/2/2015	12/13/2018
Inactive	Essentia Insurance Company	300342	Agent - Casualty	6/16/2016	12/12/2022
Inactive	Essentia Insurance Company	300342	Agent - Personal Lines	3/13/2008	12/12/2022
Inactive	Essentia Insurance Company	300342	Agent - Property	6/16/2016	12/12/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hagerty Ins Agency LLC	541031	Agent - Personal Lines	3/13/2008	12/7/2022
Inactive	Hagerty Ins Agency LLC	541031	Agent - Property	6/16/2016	12/7/2022
Inactive	Hagerty Ins Agency LLC	541031	Agent - Casualty	6/16/2016	12/7/2022