DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Harsin, Jeffrey	DOIID	372430	NAIC NPN	7201203

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	5/30/1996	5/30/1997
Active	Non Resident	Independent Adjuster	Workers' Compensation	3/16/2021		1/31/2025
Active	Non Resident	Independent Adjuster	Property & Casualty	3/16/2021		1/31/2025
* 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	11/15/2024	01/31/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Continental Casualty Company	301019	Independent Adjuster - Property & Casualty	12/2/1997	4/1/1999
Inactive	RSKCo Services, Inc.	399662	Independent Adjuster - Property & Casualty	10/15/2001	3/31/2002
Inactive	Sedgwick Claims Management Service Inc	401194	Independent Adjuster - Property & Casualty	8/12/2005	2/16/2021
Inactive	Travelers Property Casualty Insurance Company	301508	Independent Adjuster - Property & Casualty	4/1/1999	2/16/2021

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Hayworth, Janice Kay	633154	Apprentice Adjuster - Not Applicable
Denied	Metzer, Janet Sue	633157	Apprentice Adjuster - Not Applicable
Denied	Senefeld, William Raymond	633955	Apprentice Adjuster - Not Applicable
Denied	Smithson, Tanya S	328880	Apprentice Adjuster - Not Applicable

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Jordan, William A	345290	Apprentice Adjuster - Not Applicable	5/30/1996	5/30/1997