Agency Information

DANIEL CARPENTER INSURANCE AGENCY INC

925 TAHOE BLVD STE 104

INCLINE VILLAGE, NV 89451-7498

775-831-4446

danjr@dcarpenter-ins.com

13808707

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Resident Producer Firm	648860	04/30/2009	Active	04/30/2009	04/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	04/30/2009	Active	04/30/2009
Health	04/30/2009	Active	04/30/2009
Life	04/30/2009	Active	04/30/2009
Property	04/30/2009	Active	04/30/2009

Company Name	Appointment Type	Status	Active Date
1795
AMERICAN MODERN PROPERTY AND CASUALTY INSURANCE COMPANY	Casualty	Active	08/07/2018
	Property	Active	08/07/2018
1099
Company Name	Appointment Type	Status	Active Date
ANTHEM LIFE INSURANCE COMPANY	Life	Active	06/11/2021
1639
Company Name	Appointment Type	Status	Active Date
COAST NATIONAL INSURANCE COMPANY	Casualty	Active	11/01/2010
230
Company Name	Appointment Type	Status	Active Date
FARMERS INSURANCE EXCHANGE	Casualty	Active	09/10/2017
	Property	Active	09/10/2017
231
Company Name	Appointment Type	Status	Active Date
FARMERS NEW WORLD LIFE INSURANCE COMPANY	Health	Active	12/13/2010
	Life	Active	12/13/2010
247
Company Name	Appointment Type	Status	Active Date
FIRE INSURANCE EXCHANGE FIRE UNDERWRITERS ASSOCIATION	Casualty	Active	09/10/2017
	Property	Active	09/10/2017
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	11/01/2010
	Property	Active	11/01/2010
1538
Company Name	Appointment Type	Status	Active Date
HMO COLORADO INC D/B/A HMO NEVADA	Health	Active	07/25/2009
405
Company Name	Appointment Type	Status	Active Date
MID-CENTURY INSURANCE COMPANY	Casualty	Active	09/10/2017
	Property	Active	09/10/2017
1620
Company Name	Appointment Type	Status	Active Date
ROCKY MOUNTAIN HOSPITAL AND MEDICAL SERVICE INC	Health	Active	08/13/2019
656
Company Name	Appointment Type	Status	Active Date
TRUCK INSURANCE EXCHANGE	Casualty	Active	09/10/2017
	Property	Active	09/10/2017

row(s) 1 - 18 of 18

Name	Association Type	Agent	Begin Date	End Date
DANIEL E CARPENTER	Designated Resp Lic Prdcr	Yes	09/15/2020	-

1 - 1