DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blevins, Lisa A	DOIID	319445	NAIC NPN	6077901

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	6/23/2008	7/1/2010
Inactive	Resident	Agent	General Lines	3/14/1990	11/5/1997
Active	Resident	Independent Adjuster	Property & Casualty	12/16/2010		11/30/2024
Inactive	Resident	Staff Adjuster	Property & Casualty	7/1/2010	12/16/2010
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Grange Insurance Company	300234	Agent - General Lines	4/27/1994	11/5/1997
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	3/19/1990	1/2/1997
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	3/14/1990	6/11/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gerald Schott Agency Inc. [The]	398924	Agent - General Lines	5/26/1993	11/5/1997
Inactive	Infinity Casualty Insurance Company	301280	Adjuster - Independent	8/23/2001	12/16/2002
Inactive	State Automobile Mutual Insurance Company	301824	Adjuster - Independent	1/6/2000	11/17/2006