DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bach, Carl L	DOIID	771877	NAIC NPN	16359153

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	1/4/2012	2/20/2018
Inactive	Non Resident	Agent	Property	1/4/2012	2/20/2018
* 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	Federated Mutual Insurance Company	301106	Agent - Casualty	3/3/2016	12/29/2017
Inactive	Federated Mutual Insurance Company	301106	Agent - Property	3/3/2016	12/29/2017
Inactive	Hiscox Insurance Company Inc.	300894	Agent - Casualty	1/24/2012	2/20/2018
Inactive	Hiscox Insurance Company Inc.	300894	Agent - Property	1/24/2012	2/20/2018
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	2/1/2012	3/5/2018
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	2/1/2012	3/5/2018
Inactive	Underwriters at Lloyd's, London	300658	Agent - Casualty	3/19/2014	2/20/2018
Inactive	Underwriters at Lloyd's, London	300658	Agent - Property	3/19/2014	2/20/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hiscox Inc	622105	Agent - Property	1/24/2012	1/12/2018
Inactive	Hiscox Inc	622105	Agent - Casualty	1/24/2012	1/12/2018