DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Koehn, Garrett Donald	DOIID	831285	NAIC NPN	2612015

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/10/2014		10/31/2026
Active	Non Resident	Agent	Property	1/10/2014		10/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	2/26/2014		10/31/2026
* 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	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	12/30/2015
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Property	12/30/2015
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	12/30/2015
Active	Liberty Mutual Insurance Company	301159	Agent - Property	12/30/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CRC Ins Services, LLC	502276	Agent - Casualty	12/5/2022
Active	CRC Ins Services, LLC	502276	Agent - Property	12/5/2022
Active	CRC Ins Services, LLC	502276	Surplus Lines Broker - Not Applicable	12/5/2022