DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jellema, Sandra L.	DOIID	359406	NAIC NPN	7195588

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	9/16/1999	7/1/2010
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	2/11/1999	9/16/1999
Inactive	Non Resident	Independent Adjuster	Workers' Compensation	11/29/2018	8/1/2024
Inactive	Non Resident	Staff Adjuster	Workers' Compensation	7/1/2010	11/29/2018
* 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	Federal Insurance Company	301144	Adjuster - Independent	9/16/1999	7/1/2010
Inactive	Federal Insurance Company	301144	Staff Adjuster - Workers' Compensation	7/1/2010	11/29/2018

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	David, Jessica	684294	Apprentice Adjuster - Not Applicable	7/9/2008	7/9/2009
Inactive	Falk, Jennifer	634029	Apprentice Adjuster - Not Applicable	6/28/2006	6/5/2007
Inactive	McBride, Amy Lynn	634015	Apprentice Adjuster - Not Applicable	6/28/2006	6/28/2007
Inactive	White, Harold George	357650	Apprentice Adjuster - Not Applicable	7/2/2008	7/2/2009

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Neary, Diane M	321431	Apprentice Adjuster - Not Applicable	2/11/1999	9/16/1999