DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Erickson Larsen Inc	DOIID	807265	NAIC NPN	136307

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	4/5/2013		3/31/2027
Active	Non Resident	Agent	Casualty	4/5/2013		3/31/2027
* 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	Capitol Indemnity Corporation	301030	Agent - Casualty	4/9/2013
Active	Capitol Indemnity Corporation	301030	Agent - Property	4/9/2013
Active	Carolina Casualty Insurance Company	300271	Agent - Casualty	9/13/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Jensen, Jennifer M	819948	Agent - Casualty	12/17/2013
Active	Jensen, Jennifer M	819948	Agent - Property	12/17/2013
Inactive	Larsen, Merwyn R	740773	Agent - Casualty	4/5/2013	12/9/2013
Inactive	Larsen, Merwyn R	740773	Agent - Property	4/5/2013	12/9/2013