DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Richardson, Karl Dean	DOIID	830944	NAIC NPN	17151028

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	4/15/2019		6/30/2025
Active	Resident	Agent	Casualty	4/15/2019		6/30/2025
Inactive	Resident	Agent	Life	5/9/2014	6/30/2017
Inactive	Resident	Agent	Health	5/23/2014	6/30/2017
Active	Resident	Surplus Lines Broker	Not Applicable	7/11/2019		6/30/2025
* 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	American Reliable Insurance Company	301889	Agent - Casualty	4/28/2016	6/30/2017
Inactive	American Reliable Insurance Company	301889	Agent - Property	4/28/2016	6/30/2017
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	5/8/2014	6/18/2014
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/8/2014	6/18/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/8/2014	6/18/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/8/2014	6/18/2014
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	5/8/2014	6/18/2014
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	5/8/2014	6/18/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	5/8/2014	6/18/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	5/8/2014	6/18/2014
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	5/24/2019
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Property	5/24/2019
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	6/25/2014	2/3/2015
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	6/25/2014	2/3/2015
Inactive	State Farm Life Insurance Company	301810	Agent - Life	6/25/2014	2/3/2015
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	6/25/2014	2/3/2015
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	6/25/2014	2/3/2015
Inactive	Time Insurance Company	300683	Agent - Health	6/25/2014	2/3/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Risk Placement Services Inc	509419	Agent - Casualty	5/10/2022	9/22/2023
Inactive	Risk Placement Services Inc	509419	Agent - Property	5/10/2022	9/22/2023
Active	Risk Placement Services Inc	509419	Surplus Lines Broker - Not Applicable	7/12/2019