DEPARTMENT OF INSURANCE

Affiliations

Name	Excell, Jeffrey S	DOIID	1302916	NAIC NPN	9196361

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Independent Adjuster	Workers' Compensation	10/5/2023		11/30/2026
* 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
Active	Amynta P&C LLC	724011	Independent Adjuster - Workers' Compensation	1/8/2024