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	Casualty	4/12/2017		1/31/2026
Active	Non Resident	Agent	Property	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2025	01/31/2026

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