DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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		5/31/2027
Active	Non Resident	Independent Adjuster	Workers' Compensation	6/20/2023		5/31/2027
Active	Non Resident	Independent Adjuster	Property & Casualty	6/20/2023		5/31/2027
* 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
Administrator	03/15/2025	05/31/2025	03/06/2025	03/06/2025	Yes
Independent Adjuster	03/15/2025	05/31/2025	03/06/2025	03/06/2025	Yes

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