DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Broviak, Michele Denise	DOIID	308655	NAIC NPN	7159474

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	10/3/2000	7/1/2010
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	10/18/1999	10/18/2000
Active	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010		5/31/2025
* 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	10/3/2000	6/1/2001
Inactive	State Automobile Mutual Insurance Company	301824	Adjuster - Independent	6/1/2001	7/1/2010
Active	State Automobile Mutual Insurance Company	301824	Staff Adjuster - Property & Casualty	7/1/2010

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hogue, David H	325796	Apprentice Adjuster - Not Applicable	10/18/1999	10/18/2000