DEPARTMENT OF INSURANCE

Affiliations

Name	Nickell, Karen Ann	DOIID	741397	NAIC NPN	16004551

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	4/24/2015	10/1/2018
Inactive	Resident	Agent	Property	4/21/2015	10/1/2018
Inactive	Resident	Apprentice Adjuster	Not Applicable	11/1/2010	7/13/2011
Inactive	Resident	Independent Adjuster	Crop	7/13/2011	10/1/2018
* 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	ACE American Insurance Company	300625	Agent - Casualty	10/9/2015	9/8/2016
Inactive	ACE American Insurance Company	300625	Agent - Property	10/9/2015	9/8/2016
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	10/9/2015	9/8/2016
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	10/9/2015	9/8/2016
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	10/9/2015	9/8/2016
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	10/9/2015	9/8/2016
Inactive	American Agri-Business Insurance Company	634731	Agent - Casualty	6/30/2015	5/18/2018
Inactive	American Agri-Business Insurance Company	634731	Agent - Property	6/30/2015	4/28/2017
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/2/2015	7/18/2016
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/2/2015	7/18/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/2/2015	7/18/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/2/2015	7/18/2016
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	5/1/2015	8/18/2016
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	5/1/2015	8/18/2016
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	10/9/2015	9/8/2016
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	10/9/2015	9/8/2016
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	4/30/2015	5/23/2016
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	4/30/2015	5/23/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	6/5/2015	6/9/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	6/5/2015	6/9/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/5/2015	6/9/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	6/5/2015	6/9/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ohio Valley Insurance, LLC	617593	Agent - Property	4/30/2015	10/11/2016
Inactive	Ohio Valley Insurance, LLC	617593	Agent - Casualty	4/30/2015	10/11/2016