DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hazen, Carol	DOIID	909324	NAIC NPN	17848194

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	3/9/2016	2/28/2021
Inactive	Non Resident	Agent	Property	3/9/2016	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 Bankers Insurance Company of Florida	300360	Agent - Casualty	10/9/2018	2/19/2021
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	10/9/2018	2/19/2021
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/8/2019	11/11/2020
Inactive	American Economy Insurance Company	300315	Agent - Property	11/8/2019	11/11/2020
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	4/4/2016	3/4/2021
Inactive	American Family Home Insurance Company	301817	Agent - Property	4/4/2016	3/4/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	4/4/2016	3/4/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	4/4/2016	3/4/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	4/4/2016	3/4/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	4/4/2016	3/4/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	4/4/2016	3/4/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	4/4/2016	3/4/2021
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/5/2018	11/11/2020
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/5/2018	11/11/2020
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/5/2018	11/11/2020
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/5/2018	11/11/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurant Insurance Agency, Inc	559398	Agent - Property	3/24/2016	2/17/2021
Inactive	Assurant Insurance Agency, Inc	559398	Agent - Casualty	3/24/2016	2/17/2021