DEPARTMENT OF INSURANCE

Affiliations

Name	Carpenter Marsh Fac Re LLC.	DOIID	822343	NAIC NPN	8834274

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	9/27/2013	5/5/2020
Inactive	Non Resident	Agent	Health	10/24/2013	9/1/2018
Inactive	Non Resident	Agent	Property	9/27/2013	5/6/2020
Inactive	Non Resident	Agent	Life	10/24/2013	9/1/2018
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	10/24/2013	5/6/2020
* 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	ACE American Insurance Company	300625	Agent - Casualty	11/19/2013	9/5/2014
Inactive	ACE American Insurance Company	300625	Agent - Property	11/19/2013	9/5/2014
Inactive	Arch Insurance Company	300688	Agent - Casualty	12/5/2013	5/5/2020
Inactive	Arch Insurance Company	300688	Agent - Property	12/5/2013	5/6/2020
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	10/8/2014	12/21/2015
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	10/8/2014	12/21/2015
Inactive	Federal Insurance Company	301144	Agent - Casualty	11/5/2013	9/9/2014
Inactive	Federal Insurance Company	301144	Agent - Property	11/5/2013	9/9/2014
Inactive	Great American Insurance Company	301586	Agent - Casualty	3/7/2016	5/5/2020
Inactive	Great American Insurance Company	301586	Agent - Property	3/7/2016	5/6/2020
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	11/19/2013	9/5/2014
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	11/19/2013	9/5/2014
Inactive	Safety National Casualty Corporation	300390	Agent - Casualty	11/12/2013	5/5/2020
Inactive	Safety National Casualty Corporation	300390	Agent - Property	11/12/2013	5/6/2020
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	10/8/2014	12/21/2015
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	10/8/2014	12/21/2015
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	10/8/2014	12/21/2015
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	10/8/2014	12/21/2015
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	10/8/2014	12/21/2015
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	10/8/2014	12/21/2015
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	10/8/2014	12/21/2015
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	10/8/2014	12/21/2015
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	10/8/2014	12/21/2015
Inactive	The Phoenix Insurance Company	301502	Agent - Property	10/8/2014	12/21/2015
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	10/8/2014	12/21/2015
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	10/8/2014	12/21/2015
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	10/8/2014	5/5/2020
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	10/8/2014	5/6/2020
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	10/8/2014	5/5/2020
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	10/8/2014	5/6/2020
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	10/8/2014	12/21/2015
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	10/8/2014	12/21/2015
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	10/8/2014	12/21/2015
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	10/8/2014	12/21/2015
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	10/8/2014	12/21/2015
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	10/8/2014	12/21/2015
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	10/8/2014	12/21/2015
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	10/8/2014	12/21/2015
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	11/19/2013	9/5/2014
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	11/19/2013	9/5/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Kirschenblatt, Justin T	885767	Agent - Casualty
Denied	Kirschenblatt, Justin T	885767	Agent - Property
Inactive	Kirschenblatt, Justin T	885767	Surplus Lines Broker - Not Applicable	10/18/2016	4/25/2017
Inactive	Levene, Stephen Keith	500200	Agent - Casualty	11/15/2013	9/17/2014
Inactive	Levene, Stephen Keith	500200	Agent - Property	11/15/2013	9/17/2014
Inactive	Lichtman, Jason Harry	866701	Agent - Health	9/15/2016	6/30/2018
Inactive	Lichtman, Jason Harry	866701	Agent - Life	9/15/2016	6/30/2018
Denied	Nichols, Embry Lynne	837828	Agent - Casualty
Denied	Nichols, Embry Lynne	837828	Agent - Property
Inactive	Nichols, Embry Lynne	837828	Surplus Lines Broker - Not Applicable	4/8/2014	5/6/2020
Inactive	Racioppo, Lawrence A	782012	Agent - Casualty	11/15/2013	12/9/2013
Inactive	Racioppo, Lawrence A	782012	Agent - Property	11/15/2013	12/9/2013
Inactive	Racioppo, Lawrence A	782012	Surplus Lines Broker - Not Applicable	11/15/2013	5/1/2014
Inactive	Reiss, Robyn E	806209	Agent - Casualty	9/27/2013	11/15/2013
Inactive	Reiss, Robyn E	806209	Agent - Property	9/27/2013	11/15/2013
Inactive	Reiss, Robyn E	806209	Surplus Lines Broker - Not Applicable	10/24/2013	11/15/2013
Inactive	Tourt, Laura A	822483	Agent - Health	10/24/2013	6/3/2016
Inactive	Tourt, Laura A	822483	Agent - Life	10/24/2013	6/3/2016
Inactive	Waterman, Michael L	664187	Agent - Casualty	11/15/2013	5/5/2020
Inactive	Waterman, Michael L	664187	Agent - Property	11/15/2013	5/6/2020