DEPARTMENT OF INSURANCE

Affiliations

Name	Larson, Roy	DOIID	843699	NAIC NPN	3150962

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	6/23/2014	9/30/2022
Inactive	Non Resident	Agent	Casualty	6/23/2014	9/30/2022
* 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	7/31/2014	9/30/2022
Inactive	ACE American Insurance Company	300625	Agent - Property	7/31/2014	9/30/2022
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	7/31/2014	9/30/2022
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	7/31/2014	9/30/2022
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	7/31/2014	9/30/2022
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	7/31/2014	9/30/2022
Inactive	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	8/8/2014	9/2/2022
Inactive	Allied Property and Casualty Insurance Company	300279	Agent - Property	8/8/2014	9/2/2022
Inactive	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	7/18/2014	2/23/2018
Inactive	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	7/18/2014	2/23/2018
Inactive	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	7/18/2014	2/23/2018
Inactive	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	7/18/2014	2/23/2018
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	9/30/2022
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	9/30/2022
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	7/31/2014	9/30/2022
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	7/31/2014	9/30/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/5/2018	8/29/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/5/2018	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	6/5/2018	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	6/5/2018	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	6/5/2018	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	6/5/2018	8/29/2018
Inactive	Hanover American Insurance Company (The)	300447	Agent - Casualty	7/18/2014	2/23/2018
Inactive	Hanover American Insurance Company (The)	300447	Agent - Property	7/18/2014	2/23/2018
Inactive	Hanover Insurance Company (The)	300508	Agent - Casualty	7/18/2014	2/23/2018
Inactive	Hanover Insurance Company (The)	300508	Agent - Property	7/18/2014	2/23/2018
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	7/31/2014	9/30/2022
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	7/31/2014	9/30/2022
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Casualty	7/18/2014	2/23/2018
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Property	7/18/2014	2/23/2018
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	7/31/2014	9/30/2022
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	7/31/2014	9/30/2022
Inactive	Rural Community Insurance Company	301891	Agent - Property	7/18/2014	3/8/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/18/2014	9/30/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/18/2014	9/30/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/18/2014	9/30/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/18/2014	9/30/2022
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	7/31/2014	9/30/2022
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	7/31/2014	9/30/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	12/16/2015	10/9/2019
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	12/16/2015	10/9/2019
Inactive	Usi Insurance Services LLC	669260	Agent - Property	1/3/2019	9/30/2022
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	1/3/2019	9/30/2022
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Property	7/22/2014	4/12/2017
Inactive	Wells Fargo Insurance Inc.	518950	Agent - Casualty	7/22/2014	4/12/2017