DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brown, Sally A	DOIID	346101	NAIC NPN	510557

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	12/12/1996	2/7/2000
Active	Non Resident	Independent Adjuster	Workers' Compensation	5/7/2009		3/31/2025
* 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	01/15/2025	03/31/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mitsui Sumitomo Insurance Company of America	301070	Adjuster - Independent	12/12/1996	2/7/2000
Active	Sedgwick Claims Management Service Inc	401194	Independent Adjuster - Workers' Compensation	11/20/2012
Inactive	Specialty Risk Services LLC	596363	Independent Adjuster - Workers' Compensation	12/21/2010	11/19/2012

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Djukic, Svetlana	335060	Apprentice Adjuster - Not Applicable	1/15/1997	1/15/1998