DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fougerousse, Nanette Blunk	DOIID	381406	NAIC NPN	3577420

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	3/21/1990	2/24/2005
Inactive	Non Resident	Agent	Life	2/4/2005	3/31/2006
Inactive	Non Resident	Agent	Health	2/4/2005	3/31/2006
Inactive	Non Resident	Independent Adjuster	Property & Casualty	5/21/2019	3/31/2024
Denied	Non Resident	Staff Adjuster	Property & Casualty
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/5/2005	3/31/2006
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/5/2005	3/31/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Davies Claims Solutions, LLC	548339	Independent Adjuster - Property & Casualty	6/13/2019	6/30/2022
Inactive	Infinity Casualty Insurance Company	301280	Adjuster - Independent	7/8/1998	2/11/2002
Inactive	Meridian Mutual Insurance Company	301303	Adjuster - Independent	10/22/1996	7/8/1998
Inactive	Progressive Casualty Insurance Company	300696	Adjuster - Independent	2/27/2002	2/24/2005
Inactive	State Farm Mutual Automobile Insurance Company	301732	Adjuster - Independent	3/21/1990	10/22/1996