DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Debusk, Mallory	DOIID	326555	NAIC NPN	7172907

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Independent Adjuster	Property & Casualty	9/10/1997		1/31/2026
* 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	Sedgwick Claims Management Service Inc	401194	Independent Adjuster - Property & Casualty	11/20/2012
Inactive	Specialty Risk Services LLC	596363	Independent Adjuster - Property & Casualty	10/1/2004	11/19/2012
Inactive	Travelers Casualty and Surety Company	301067	Independent Adjuster - Property & Casualty	9/10/1997	12/30/1999