DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mergenthal, Kristin Nicole	DOIID	626458	NAIC NPN	8729039

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Apprentice Adjuster	Not Applicable	2/24/2006	8/14/2006
Inactive	Resident	Independent Adjuster	Property & Casualty	8/14/2006	7/1/2010
Active	Non Resident	Staff Adjuster	Workers' Compensation	7/1/2010		7/31/2025
* 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
Staff Adjuster	05/15/2025	07/31/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Protective Insurance Company	301117	Staff Adjuster - Workers' Compensation	1/13/2014	3/25/2020
Inactive	Sagamore Insurance Company	300942	Staff Adjuster - Workers' Compensation	11/30/2018	3/25/2020

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Selvaggio, Marjorie M	384502	Apprentice Adjuster - Not Applicable	2/24/2006	8/14/2006