DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Larson, Karen P	DOIID	918071	NAIC NPN	5716218

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	6/10/2016	2/10/2022
Inactive	Non Resident	Agent	Property	6/10/2016	2/10/2022
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	6/10/2016	2/10/2022
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Aegis Ins Services Inc	916921	Agent - Property
Denied	Aegis Ins Services Inc	916921	Agent - Casualty
Inactive	Aegis Ins Services Inc	916921	Surplus Lines Broker - Not Applicable	8/23/2016	2/10/2022