DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Farnum, Carrie A	DOIID	955711	NAIC NPN	3222392

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/26/2017		1/31/2026
Active	Non Resident	Agent	Life	5/26/2017		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
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/8/2017	10/12/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/8/2017	10/12/2020
Active	Guardian Life Insurance Company of America	301316	Agent - Health	6/8/2017
Active	Guardian Life Insurance Company of America	301316	Agent - Life	6/8/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Usi Insurance Services LLC	669260	Agent - Life	6/3/2019	6/7/2022
Inactive	Usi Insurance Services LLC	669260	Agent - Health	6/3/2019	6/7/2022