DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Allen, Melissa	DOIID	357159	NAIC NPN	1846683

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	10/20/1997	7/1/2010
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	5/16/1995	5/16/1996
Active	Non Resident	Independent Adjuster	Workers' Compensation	1/17/2023		11/30/2026
Active	Non Resident	Independent Adjuster	Property & Casualty	12/28/2016		11/30/2026
Inactive	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010	11/30/2016
* 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	09/15/2024	11/30/2024	09/23/2024	09/23/2024	Yes

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hamilton Mutual Insurance Company	301111	Adjuster - Independent	10/18/2001	7/1/2010
Inactive	Hamilton Mutual Insurance Company	301111	Staff Adjuster - Property & Casualty	7/1/2010	11/30/2016
Inactive	SAFECO Insurance Company of America	300159	Adjuster - Independent	10/20/1997	8/22/2001

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Long, Douglas James	387044	Apprentice Adjuster - Not Applicable	5/16/1995	5/16/1996