DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brown, Terri Sarissa	DOIID	1192219	NAIC NPN	16477425

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/8/2022	1/31/2024
Inactive	Non Resident	Agent	Casualty	3/8/2022	1/31/2024
Active	Non Resident	Staff Adjuster	Property & Casualty	1/31/2024		1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Midvale Indemnity Company	300292	Agent - Casualty	4/11/2022	1/29/2024
Inactive	Midvale Indemnity Company	300292	Agent - Property	4/11/2022	1/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	7/7/2022	6/22/2023
Inactive	Ohio Security Insurance Company	300622	Agent - Property	7/7/2022	6/22/2023
Inactive	United Financial Casualty Company	301886	Agent - Casualty	4/4/2022	1/8/2024
Inactive	United Financial Casualty Company	301886	Agent - Property	4/4/2022	1/8/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	4/7/2022	1/29/2024
Inactive	Progressive Advantage Agency , Inc.	518222	Agent - Property	4/7/2022	1/29/2024