DEPARTMENT OF INSURANCE

Affiliations

Name	Carmine, Douglas	DOIID	672169	NAIC NPN	2046652

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	1/16/2008	8/31/2026
Active	Non Resident	Agent	Casualty	1/16/2008	8/31/2026
* 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	06/15/2024	08/31/2024	06/11/2024	06/11/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AMCO Insurance Company	300204	Agent - Casualty	10/4/2021
Active	AMCO Insurance Company	300204	Agent - Property	10/4/2021
Active	Allied Insurance Company of America	793586	Agent - Casualty	10/4/2021
Active	Allied Insurance Company of America	793586	Agent - Property	10/4/2021
Active	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	10/4/2021
Active	Allied Property and Casualty Insurance Company	300279	Agent - Property	10/4/2021
Active	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/9/2019
Active	Bristol West Insurance Company	301655	Agent - Casualty	10/31/2016
Active	Bristol West Insurance Company	301655	Agent - Property	10/31/2016
Active	Depositors Insurance Company	301634	Agent - Casualty	10/4/2021
Active	Depositors Insurance Company	301634	Agent - Property	10/4/2021
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	1/23/2008	10/16/2016
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	1/23/2008	10/16/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/31/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/31/2016
Active	Homesite Insurance Company	301139	Agent - Casualty	10/19/2016
Active	Homesite Insurance Company	301139	Agent - Property	10/19/2016
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	7/11/2017
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	7/11/2017
Active	Integon Indemnity Corporation	300674	Agent - Casualty	12/1/2023
Active	Integon Indemnity Corporation	300674	Agent - Property	12/1/2023
Inactive	LM General Insurance Company	300133	Agent - Casualty	3/19/2010	11/11/2022
Inactive	LM General Insurance Company	300133	Agent - Property	3/19/2010	11/11/2022
Inactive	LM Insurance Corporation	301061	Agent - Casualty	3/19/2010	10/1/2018
Inactive	LM Insurance Corporation	301061	Agent - Property	3/19/2010	10/1/2018
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	1/23/2008	10/16/2020
Inactive	Liberty Insurance Corporation	300444	Agent - Property	1/23/2008	10/16/2020
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	1/23/2008	10/14/2016
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	1/23/2008	10/14/2016
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	7/2/2021
Active	Liberty Mutual Insurance Company	301159	Agent - Property	7/2/2021
Active	Liberty Mutual Personal Insurance Company	959584	Agent - Casualty	10/22/2018
Active	Liberty Mutual Personal Insurance Company	959584	Agent - Property	10/22/2018
Active	Nationwide Assurance Company	300166	Agent - Casualty	10/4/2021
Active	Nationwide Assurance Company	300166	Agent - Property	10/4/2021
Active	Nationwide General Insurance Company	300603	Agent - Casualty	10/4/2021
Active	Nationwide General Insurance Company	300603	Agent - Property	10/4/2021
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	10/4/2021
Active	Nationwide Insurance Company of America	300333	Agent - Property	10/4/2021
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	10/4/2021
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	10/4/2021
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	10/4/2021
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	10/4/2021
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	12/28/2022
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	12/28/2022
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	10/15/2018
Active	Progressive Casualty Insurance Company	300696	Agent - Property	10/15/2018
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	8/22/2017
Active	SAFECO Insurance Company of America	300159	Agent - Property	8/22/2017
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/22/2017
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/22/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Helmsman Ins Agency LLC	572054	Agent - Property	10/13/2016	6/1/2021
Inactive	Helmsman Ins Agency LLC	572054	Agent - Casualty	10/13/2016	6/1/2021