DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Rivera, Stephany Paola	DOIID	1253635	NAIC NPN	17893443

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Independent Adjuster	Workers' Compensation	1/31/2023		5/31/2024
Pending Replacement	Non Resident	Independent Adjuster	Property & Casualty	1/31/2023		5/31/2024
* 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
Independent Adjuster	03/15/2024	05/31/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Esis, Incorporated	398029	Independent Adjuster - Workers' Compensation
Pending Replacement	Esis, Incorporated	398029	Independent Adjuster - Property & Casualty	8/29/2023