DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Carpenter, Todd Lee	DOIID	1127079	NAIC NPN	17845060

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/30/2021	8/31/2022
Inactive	Non Resident	Agent	Health	3/30/2021	8/31/2022
Inactive	Non Resident	Agent	Casualty	3/30/2021	8/31/2022
Inactive	Non Resident	Agent	Property	3/30/2021	8/31/2022
* 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	Bristol West Insurance Company	301655	Agent - Casualty	4/20/2021	8/31/2022
Inactive	Bristol West Insurance Company	301655	Agent - Property	4/20/2021	8/31/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/20/2021	8/31/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/20/2021	8/31/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/7/2021	8/23/2021
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	6/7/2021	8/23/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Casualty	9/21/2021	8/31/2022
Denied	Health Iq Insurance Services, Inc	882220	Agent - Life
Denied	Health Iq Insurance Services, Inc	882220	Agent - Health
Inactive	Health Iq Insurance Services, Inc	882220	Agent - Property	9/21/2021	8/31/2022