DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Nelson, Carrie Marie	DOIID	534403	NAIC NPN	7218577

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	8/14/2001	2/1/2014
Inactive	Resident	Agent	Casualty	8/14/2001	2/1/2014
* 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	5/3/2011	12/17/2013
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	5/3/2011	12/17/2013
Inactive	Countryway Insurance Company	300809	Agent - Casualty	8/14/2001	2/1/2014
Inactive	Countryway Insurance Company	300809	Agent - Property	8/14/2001	2/1/2014
Inactive	Sentry Select Insurance Company	301648	Agent - Casualty	2/10/2006	12/27/2013
Inactive	Sentry Select Insurance Company	301648	Agent - Property	2/10/2006	12/27/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Raymond Nelson Insurance Agency Inc.	398578	Agent - Property	2/27/2003	2/1/2014
Inactive	Raymond Nelson Insurance Agency Inc.	398578	Agent - Casualty	2/27/2003	2/1/2014