DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Gibson, Carol A	DOIID	802724	NAIC NPN	2772625

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	1/31/2013	4/30/2015
Inactive	Non Resident	Agent	Casualty	1/31/2013	4/30/2015
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	4/1/2013	1/20/2015
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	4/1/2013	1/20/2015
Inactive	All America Insurance Company	300078	Agent - Casualty	11/5/2014	1/21/2015
Inactive	All America Insurance Company	300078	Agent - Property	11/5/2014	1/21/2015
Inactive	Central Mutual Insurance Company	300965	Agent - Casualty	11/5/2014	1/21/2015
Inactive	Central Mutual Insurance Company	300965	Agent - Property	11/5/2014	1/21/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/25/2013	4/30/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/25/2013	4/30/2015
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/8/2013	4/30/2015
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	3/8/2013	4/30/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assuredpartners Nl, Llc	762387	Agent - Casualty	3/8/2013	1/23/2015
Inactive	Assuredpartners Nl, Llc	762387	Agent - Property	3/8/2013	1/23/2015