DEPARTMENT OF INSURANCE

Affiliations

Name	Merrick, Kelley L	DOIID	328264	NAIC NPN	4887952

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Adjuster	Independent	9/19/1996	8/28/2001
Inactive	Resident	Apprentice Adjuster	Not Applicable	10/2/1995	9/19/1996
* 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	Liberty Mutual Insurance Company	301159	Adjuster - Independent	9/19/1996	8/28/2001