DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Latham, Carmen	DOIID	928911	NAIC NPN	17312268

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	9/13/2016	3/31/2023
Inactive	Non Resident	Agent	Property	9/13/2016	3/31/2023
* 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	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	9/13/2016	3/18/2019
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	9/13/2016	3/18/2019
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	4/18/2019	4/5/2021
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	4/18/2019	4/5/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	4/29/2019	4/5/2021
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	4/29/2019	4/5/2021