DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Amos, Denise Rochelle	DOIID	374225	NAIC NPN	7202016

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	5/12/2000	7/1/2010
Inactive	Non Resident	Apprentice Adjuster	Not Applicable	2/2/1999	2/2/2000
Active	Non Resident	Staff Adjuster	Workers' Compensation	10/30/2020		7/31/2026
Inactive	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010	7/31/2020
* 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	05/15/2024	07/31/2024	06/03/2024	06/03/2024	Yes

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Employers Insurance Company of Wausau	301813	Adjuster - Independent	5/12/2000	7/1/2010
Inactive	Employers Insurance Company of Wausau	301813	Staff Adjuster - Property & Casualty	7/1/2010	7/31/2020

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Stone, Stephen F	308904	Apprentice Adjuster - Not Applicable	2/2/1999	2/2/2000