DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Haysley, Terri Lea	DOIID	352907	NAIC NPN	7192731

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	4/14/1994	7/1/2010
Inactive	Non Resident	Agent	Casualty	6/5/2017	12/31/2018
Inactive	Non Resident	Agent	Property	6/5/2017	12/31/2018
Inactive	Resident	Staff Adjuster	Property & Casualty	7/1/2010	12/31/2016
* 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	Aig Claims Inc	401148	Adjuster - Independent	8/15/1996	3/31/1998
Inactive	Auto-Owners Insurance Company	301480	Adjuster - Independent	10/20/2006	7/1/2010
Inactive	Auto-Owners Insurance Company	301480	Staff Adjuster - Property & Casualty	7/1/2010	6/25/2013
Inactive	Liberty Mutual Insurance Company	301159	Adjuster - Independent	4/14/1994	8/15/1996
Inactive	Sedgwick Claims Management Service Inc	401194	Adjuster - Independent	8/12/2005	7/1/2010

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Burns, Catherine	354109	Apprentice Adjuster - Not Applicable	7/29/1997	3/31/1998