DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Larson, Laurie	DOIID	810055	NAIC NPN	5757065

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	5/14/2013	12/31/2019
Inactive	Non Resident	Agent	Property	5/14/2013	12/31/2019
* 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	Fireman's Fund Insurance Company	301423	Agent - Casualty	2/10/2016	12/31/2019
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	2/10/2016	12/31/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Paynewest Ins Inc	535818	Agent - Property	4/7/2016	12/31/2019
Inactive	Paynewest Ins Inc	535818	Agent - Casualty	4/7/2016	12/31/2019
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	7/10/2013	12/7/2015
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	7/10/2013	12/7/2015