DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kazmierczak, Amy	DOIID	368508	NAIC NPN	2856380

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	6/5/2000	7/1/2010
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	7/20/1999	6/5/2000
Active	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010		7/31/2026
* 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	Esurance Insurance Company	301072	Adjuster - Independent	8/11/2005	7/1/2010
Active	Esurance Insurance Company	301072	Staff Adjuster - Property & Casualty	7/1/2010
Inactive	Omni Insurance Company	301545	Adjuster - Independent	6/5/2000	7/1/2010
Inactive	Omni Insurance Company	301545	Staff Adjuster - Property & Casualty	7/1/2010	1/1/2018

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Unversaw, James R	330171	Apprentice Adjuster - Not Applicable	7/20/1999	6/5/2000