DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ross, Jennifer Lynn	DOIID	1072774	NAIC NPN	3578179

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	1/29/2020		5/31/2025
Active	Non Resident	Independent Adjuster	Workers' Compensation	6/20/2023		5/31/2025
Active	Non Resident	Independent Adjuster	Property & Casualty	6/20/2023		5/31/2025
* 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
Inactive	Professional Disability Associates	797191	Administrator - Not Applicable	11/30/2021	2/2/2022
Active	Usis, Inc.	708529	Administrator - Not Applicable	9/14/2021
Active	Usis, Inc.	708529	Independent Adjuster - Workers' Compensation	8/29/2023
Active	Usis, Inc.	708529	Independent Adjuster - Property & Casualty	8/29/2023