DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hack, Michelle S	DOIID	306665	NAIC NPN	3641234

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	5/5/1998	4/4/2000
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	8/1/1997	5/5/1998
* 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	Meridian Mutual Insurance Company	301303	Adjuster - Independent	6/22/1999	4/4/2000

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kirk, Marylee	349749	Apprentice Adjuster - Not Applicable	8/16/1999	8/16/2000
Inactive	Koosman, Chad David	307791	Apprentice Adjuster - Not Applicable	8/16/1999	8/16/2000
Inactive	Malham, Linda S	334656	Apprentice Adjuster - Not Applicable	8/16/1999	8/16/2000

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wilson, Amy Adella	358506	Apprentice Adjuster - Not Applicable	8/1/1997	5/5/1998