DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Karl, Lauren	DOIID	953769	NAIC NPN	17585259

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	5/9/2017	9/27/2019
Inactive	Non Resident	Agent	Property	5/9/2017	9/27/2019
Active	Non Resident	Independent Adjuster	Property & Casualty	1/25/2019		9/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Independent Adjuster	07/15/2024	09/30/2024	07/03/2024	07/03/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	North River Insurance Company (The)	301739	Agent - Casualty	6/2/2017	9/27/2019
Inactive	North River Insurance Company (The)	301739	Agent - Property	6/2/2017	9/27/2019
Inactive	United States Fire Insurance Company	582240	Agent - Casualty	6/2/2017	9/27/2019
Inactive	United States Fire Insurance Company	582240	Agent - Property	6/2/2017	9/27/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	PTZ Insurance Agency LTD	695420	Agent - Property	7/21/2017	9/27/2019
Inactive	PTZ Insurance Agency LTD	695420	Agent - Casualty	7/21/2017	9/27/2019
Inactive	PTZ Insurance Agency LTD	695420	Independent Adjuster - Property & Casualty	2/13/2019	8/15/2023