DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stephens, Mary Susan	DOIID	322275	NAIC NPN	7168778

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Independent Adjuster	Property & Casualty	3/17/2015	2/1/2023
Withdrawn	Resident	Independent Adjuster	Workers' Compensation
* 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	Davies Claims Solutions, LLC	548339	Independent Adjuster - Property & Casualty	1/28/2021	5/7/2021
Inactive	Old Republic Insurance Company	301225	Independent Adjuster - Property & Casualty	11/18/1993	2/1/2015

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chapman, Jessica Lynn	1025342	Apprentice Adjuster - Not Applicable	1/16/2019	8/26/2019