DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cook, Carol Ann	DOIID	775995	NAIC NPN	8586024

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	11/14/2015	10/31/2018
Inactive	Non Resident	Agent	Property	11/14/2015	10/31/2018
* 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	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	12/8/2015	2/23/2017
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	12/8/2015	2/23/2017
Inactive	Homesite Insurance Company	301139	Agent - Casualty	3/5/2012	10/22/2012
Inactive	Homesite Insurance Company	301139	Agent - Property	3/5/2012	10/22/2012
Inactive	LM General Insurance Company	300133	Agent - Casualty	12/8/2015	2/23/2017
Inactive	LM General Insurance Company	300133	Agent - Property	12/8/2015	2/23/2017
Inactive	LM Insurance Corporation	301061	Agent - Casualty	12/8/2015	2/23/2017
Inactive	LM Insurance Corporation	301061	Agent - Property	12/8/2015	2/23/2017
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	12/8/2015	2/23/2017
Inactive	Liberty Insurance Corporation	300444	Agent - Property	12/8/2015	2/23/2017
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	12/8/2015	2/23/2017
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	12/8/2015	2/23/2017
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	12/8/2015	2/23/2017
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	12/8/2015	2/23/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	12/21/2016	2/23/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	12/21/2016	2/23/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/21/2017	8/17/2018
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/21/2017	8/17/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Homesite Ins Agency Inc	547560	Agent - Property	6/15/2012	10/22/2012
Inactive	Homesite Ins Agency Inc	547560	Agent - Casualty	6/15/2012	10/22/2012