DEPARTMENT OF INSURANCE

Affiliations

Name	Busick, Carla	DOIID	782510	NAIC NPN	428434

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/23/2012	12/31/2027
Active	Non Resident	Agent	Property	5/23/2012	12/31/2027
* 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
Active	AIG Assurance Company	300897	Agent - Casualty	5/19/2015
Active	AIG Assurance Company	300897	Agent - Property	5/19/2015
Active	AIG Property Casualty Company	300621	Agent - Casualty	5/19/2015
Active	AIG Property Casualty Company	300621	Agent - Property	5/19/2015
Active	American Home Assurance Company	300246	Agent - Casualty	5/19/2015
Active	American Home Assurance Company	300246	Agent - Property	5/19/2015
Active	Commerce and Industry Insurance Company	300881	Agent - Casualty	5/19/2015
Active	Commerce and Industry Insurance Company	300881	Agent - Property	5/19/2015
Inactive	Florida Casualty Insurance Company	301285	Agent - Casualty	2/22/2017	1/18/2018
Inactive	Florida Casualty Insurance Company	301285	Agent - Property	2/22/2017	1/18/2018
Active	Granite State Insurance Company	300818	Agent - Casualty	5/19/2015
Active	Granite State Insurance Company	300818	Agent - Property	5/19/2015
Inactive	Great Midwest Insurance Company	301418	Agent - Casualty	1/29/2018	2/27/2026
Inactive	Great Midwest Insurance Company	301418	Agent - Property	1/29/2018	2/27/2026
Inactive	Guarantee Insurance Company	300611	Agent - Casualty	6/1/2012	12/18/2017
Inactive	Guarantee Insurance Company	300611	Agent - Property	6/1/2012	12/18/2017
Active	Illinois National Insurance Company	301367	Agent - Casualty	5/19/2015
Active	Illinois National Insurance Company	301367	Agent - Property	5/19/2015
Inactive	Imperium Insurance Company	300804	Agent - Casualty	1/29/2018	2/27/2026
Inactive	Imperium Insurance Company	300804	Agent - Property	1/29/2018	2/27/2026
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	5/19/2015
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	5/19/2015
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	5/19/2015
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	5/19/2015
Active	New Hampshire Insurance Company	301670	Agent - Casualty	5/19/2015
Active	New Hampshire Insurance Company	301670	Agent - Property	5/19/2015
Inactive	Work First Casualty Company	300561	Agent - Casualty	3/2/2015	1/10/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	7/28/2026
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	7/28/2026
Inactive	Giga Solutions Inc	969587	Agent - Property	9/27/2017	3/31/2023
Inactive	Giga Solutions Inc	969587	Agent - Casualty	9/27/2017	3/31/2023
Inactive	TriGen Insurance Solutions, LLC	704562	Agent - Property	4/16/2013	11/2/2017
Inactive	TriGen Insurance Solutions, LLC	704562	Agent - Casualty	4/16/2013	11/2/2017