DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Carroll, Thomas G	DOIID	919965	NAIC NPN	2297544

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	6/30/2016	1/31/2020
Inactive	Non Resident	Agent	Property	6/30/2016	1/31/2020
* 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	National Specialty Insurance Company	300993	Agent - Casualty	11/29/2016	1/31/2020
Inactive	National Specialty Insurance Company	300993	Agent - Property	11/29/2016	1/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Amynta P&C LLC	724011	Agent - Property	1/20/2017	1/31/2020
Inactive	Amynta P&C LLC	724011	Agent - Casualty	1/20/2017	1/31/2020