DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Carlson, Judy Ann	DOIID	688463	NAIC NPN	11492172

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	9/8/2008		4/30/2027
Active	Non Resident	Agent	Casualty	9/8/2008		4/30/2027
* 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	02/15/2027	04/30/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Amica Mutual Insurance Company	301405	Agent - Casualty	9/17/2008
Active	Amica Mutual Insurance Company	301405	Agent - Property	9/17/2008
Active	Amica Property and Casualty Insurance Company	962874	Agent - Casualty	4/20/2018
Active	Amica Property and Casualty Insurance Company	962874	Agent - Property	4/20/2018
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/20/2008	10/5/2009
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	11/20/2008	10/5/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Amica General Agency, LLC	509383	Agent - Property	2/26/2009
Active	Amica General Agency, LLC	509383	Agent - Casualty	2/26/2009