DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Balzraine, John Carl	DOIID	1058193	NAIC NPN	3693959

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Independent Adjuster	Workers' Compensation	9/27/2019		4/30/2026
Active	Non Resident	Independent Adjuster	Property & Casualty	9/27/2019		4/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Brentwood Serv Administrators Inc	397924	Independent Adjuster - Workers' Compensation	10/8/2019
Active	Brentwood Serv Administrators Inc	397924	Independent Adjuster - Property & Casualty	10/8/2019