DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fernandez, Carlos Eduardo	DOIID	724673	NAIC NPN	10452030

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/16/2010	1/31/2018
Inactive	Non Resident	Agent	Casualty	3/16/2010	1/31/2018
* 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	American Modern Home Insurance Company	300791	Agent - Casualty	1/10/2013	1/31/2018
Inactive	American Modern Home Insurance Company	300791	Agent - Property	1/10/2013	1/31/2018
Inactive	Starr Indemnity and Liability Company	301685	Agent - Casualty	10/27/2017	1/31/2018
Inactive	Starr Indemnity and Liability Company	301685	Agent - Property	10/27/2017	1/31/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	April Usa	870781	Agent - Property	3/3/2015	1/31/2018
Inactive	April Usa	870781	Agent - Casualty	3/3/2015	1/31/2018