DEPARTMENT OF INSURANCE

Affiliations

Name	Fields, Kara	DOIID	857960	NAIC NPN	7327731

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	11/5/2014	2/28/2021
Inactive	Non Resident	Agent	Life	2/5/2016	2/28/2021
Inactive	Non Resident	Agent	Property	11/5/2014	2/28/2021
* 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 Commerce Insurance Company	301665	Agent - Casualty	12/1/2016	3/31/2018
Inactive	American Commerce Insurance Company	301665	Agent - Property	12/1/2016	3/31/2018
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/24/2015	8/25/2020
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/24/2015	8/25/2020
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	2/25/2016	9/11/2020
Inactive	Dairyland Insurance Company	301370	Agent - Property	2/25/2016	9/11/2020
Inactive	Erie Family Life Insurance Company	301400	Agent - Life	11/7/2017	8/25/2020
Inactive	Erie Insurance Company	300230	Agent - Casualty	5/7/2015	8/25/2020
Inactive	Erie Insurance Company	300230	Agent - Property	5/7/2015	8/25/2020
Inactive	Erie Insurance Exchange	300789	Agent - Casualty	5/7/2015	8/25/2020
Inactive	Erie Insurance Exchange	300789	Agent - Property	5/7/2015	8/25/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/24/2015	8/25/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/24/2015	8/25/2020
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	4/9/2015	9/4/2020
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	4/9/2015	9/4/2020
Inactive	Grange Insurance Company	300234	Agent - Casualty	4/9/2015	9/4/2020
Inactive	Grange Insurance Company	300234	Agent - Property	4/9/2015	9/4/2020
Inactive	Grange Life Insurance Company	300128	Agent - Life	6/18/2018	9/4/2020
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	4/9/2015	9/4/2020
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	4/9/2015	9/4/2020
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	4/9/2015	9/4/2020
Inactive	Trustgard Insurance Company	300104	Agent - Property	4/9/2015	9/4/2020
Inactive	Utica Mutual Insurance Company	301933	Agent - Casualty	6/6/2016	8/26/2020
Inactive	Utica Mutual Insurance Company	301933	Agent - Property	6/6/2016	8/26/2020
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	10/12/2015	9/14/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	10/12/2015	9/14/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mitchell Ins Agcy Inc	852048	Agent - Property	5/8/2015	8/3/2020
Inactive	Mitchell Ins Agcy Inc	852048	Agent - Casualty	5/8/2015	8/3/2020