DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	03/15/2026	05/31/2026
Agent	03/15/2026	05/31/2026

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