DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Carlson, Curt D	DOIID	935849	NAIC NPN	18119582

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	7/5/2018		5/31/2026
Active	Non Resident	Agent	Property	11/4/2016		5/31/2026
Active	Non Resident	Agent	Travel	10/11/2021		5/31/2026
Active	Non Resident	Agent	Casualty	11/4/2016		5/31/2026
* 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
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	9/15/2017
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	9/15/2017
Active	Nationwide Mutual Insurance Company	301749	Agent - Travel	7/11/2024
Active	United States Fire Insurance Company	582240	Agent - Casualty	1/20/2021
Active	United States Fire Insurance Company	582240	Agent - Property	1/20/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Surego Administrative Services LLC	1001426	Administrator - Not Applicable	7/18/2018	3/31/2020
Inactive	Trawick International Inc	803201	Agent - Property	6/13/2019	5/1/2024
Inactive	Trawick International Inc	803201	Agent - Casualty	6/13/2019	5/1/2024
Denied	Trawick International Inc	803201	Agent - Travel
Active	Venbrook Insurance Services	664193	Agent - Property	6/17/2024
Active	Venbrook Insurance Services	664193	Agent - Casualty	6/17/2024