DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Carlson, Brian Michael	DOIID	950819	NAIC NPN	8038830

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	4/12/2017		1/31/2026
Active	Non Resident	Agent	Casualty	4/12/2017		1/31/2026
* 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	AIG Property Casualty Company	300621	Agent - Casualty	7/27/2017
Active	AIG Property Casualty Company	300621	Agent - Property	7/27/2017
Active	All America Insurance Company	300078	Agent - Casualty	5/15/2018
Active	All America Insurance Company	300078	Agent - Property	5/15/2018
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	8/14/2018
Active	Auto-Owners Insurance Company	301480	Agent - Property	8/14/2018
Active	Central Insurance Company	300965	Agent - Casualty	5/15/2018
Active	Central Insurance Company	300965	Agent - Property	5/15/2018
Inactive	Hartford Insurance Company of Illinois	1014405	Agent - Casualty	1/10/2021	8/2/2023
Inactive	Hartford Insurance Company of Illinois	1014405	Agent - Property	1/10/2021	8/2/2023
Active	Owners Insurance Company	300796	Agent - Casualty	8/14/2018
Active	Owners Insurance Company	300796	Agent - Property	8/14/2018
Active	Westfield Insurance Company	301950	Agent - Casualty	6/22/2017
Active	Westfield Insurance Company	301950	Agent - Property	6/22/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Usi Insurance Services LLC	669260	Agent - Property	7/28/2017
Active	Usi Insurance Services LLC	669260	Agent - Casualty	7/28/2017