Individual Information

JAMES LARRY HALL

PARK CITY, UT 84098-7660

Active

james.hall@embeddedinsurance.com

12/14/2017

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	162909	06/11/2002	Active	12/14/2017	12/31/2026
Non-Res. Surplus Lines Broker	3948396	10/06/2023	Active	10/06/2023	10/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	07/16/2013	Active	12/14/2017
Health	06/11/2002	Active	12/14/2017
Life	06/11/2002	Active	12/14/2017
Property	07/16/2013	Active	12/14/2017
Surplus Lines	10/06/2023	Active	10/06/2023

Company Name	Appointment Type	Status	Active Date
113428
AMERICAN STRATEGIC INSURANCE CORP	Casualty	Active	04/19/2021
	Property	Active	04/19/2021
1639
Company Name	Appointment Type	Status	Active Date
COAST NATIONAL INSURANCE COMPANY	Casualty	Active	12/31/2024
1610
Company Name	Appointment Type	Status	Active Date
EXECUTIVE RISK INDEMNITY INC.	Casualty	Active	03/09/2023
	Property	Active	03/09/2023
261
Company Name	Appointment Type	Status	Active Date
FOREMOST INSURANCE COMPANY GRAND RAPIDS MICHIGAN	Casualty	Active	12/31/2024
	Property	Active	12/31/2024
127980
Company Name	Appointment Type	Status	Active Date
GEICO SECURE INSURANCE COMPANY	Casualty	Active	12/10/2025
1302
Company Name	Appointment Type	Status	Active Date
PROGRESSIVE NORTHERN INSURANCE COMPANY	Casualty	Active	04/16/2020
	Property	Active	04/16/2020
115281
Company Name	Appointment Type	Status	Active Date
ROOT PROPERTY & CASUALTY INSURANCE COMPANY	Casualty	Active	07/17/2025
	Property	Active	07/17/2025
1261
Company Name	Appointment Type	Status	Active Date
UNITED FINANCIAL CASUALTY COMPANY	Casualty	Active	04/16/2020
	Property	Active	04/16/2020

row(s) 1 - 14 of 14

Organization	Association Type	Type	Beg dte	End dte
EMBEDDED INSURANCE AGENCY, LLC,	Designated Resp Lic Prdcr	Agency	03/11/2022	-
CARBON INSURANCE AGENCY, LLC	Designated Resp Lic Prdcr	Agency	07/28/2023	-

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