DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2025	06/30/2025
Surplus Lines Broker	04/15/2025	06/30/2025

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