DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	O'Connor, David J	DOIID	359401	NAIC NPN	7195587

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	7/21/1994	9/29/2005
Inactive	Non Resident	Independent Adjuster	Property & Casualty	10/24/2011	6/10/2019
Active	Non Resident	Staff Adjuster	Property & Casualty	6/10/2019		11/30/2024
Denied	Non Resident	Staff Adjuster	Workers' Compensation
* 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
Staff Adjuster	09/15/2024	11/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Custard Insurance Adjusters Inc.	401182	Independent Adjuster - Property & Casualty	10/1/2012	12/18/2014
Inactive	Indiana Insurance Company	301909	Adjuster - Independent	7/21/1994	9/29/2005