DEPARTMENT OF INSURANCE
Affiliations
NameCarosi, Michael DOIID842872NAIC NPN17286576
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty6/11/2014 6/30/2026
ActiveNon ResidentAgentProperty6/11/2014 6/30/2026
ActiveNon ResidentSurplus Lines BrokerNot Applicable7/21/2014 6/30/2026
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty6/20/201410/24/2018
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property6/20/201410/24/2018
InactiveVault Reciprocal Exchange1040481Agent - Casualty3/14/20223/18/2024
InactiveVault Reciprocal Exchange1040481Agent - Property3/14/20223/18/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveRisk Specialists Companies Ins Agency Inc669694Agent - Property7/2/201410/24/2018
InactiveRisk Specialists Companies Ins Agency Inc669694Agent - Casualty7/2/20147/27/2018
InactiveRisk Specialists Companies Ins Agency Inc669694Surplus Lines Broker - Not Applicable7/30/20142/20/2019

© Commonwealth of Kentucky. All rights reserved.