DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Roberts-Haverlin, Carolyn Ann Marie	DOIID	753790	NAIC NPN	7500610

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/6/2011		6/30/2026
Active	Non Resident	Agent	Property	5/6/2011		6/30/2026
* 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	04/15/2024	06/30/2024	05/16/2024	05/16/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Federal Insurance Company	301144	Agent - Casualty	8/11/2016
Active	Federal Insurance Company	301144	Agent - Property	8/11/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aon Private Risk Management Insurance Agency, Inc.	514711	Agent - Casualty	8/22/2016	5/2/2017
Inactive	Aon Private Risk Management Insurance Agency, Inc.	514711	Agent - Property	8/22/2016	5/2/2017
Active	Edgewood Partners Insurance Center	549891	Agent - Casualty	4/24/2019
Active	Edgewood Partners Insurance Center	549891	Agent - Property	4/24/2019