DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shaiper, Michelle B	DOIID	1116607	NAIC NPN	19760341

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Independent Adjuster	Workers' Compensation	1/13/2021	7/31/2024
Inactive	Non Resident	Independent Adjuster	Property & Casualty	1/13/2021	7/31/2024
* 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	Brentwood Serv Administrators Inc	397924	Independent Adjuster - Workers' Compensation	6/9/2022	7/31/2024
Inactive	Brentwood Serv Administrators Inc	397924	Independent Adjuster - Property & Casualty	6/9/2022	7/31/2024