DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	York Risk Services Group, Inc.	DOIID	394847	NAIC NPN	2331676

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	9/12/1997	11/23/2010
Active	Non Resident	Independent Adjuster	Property & Casualty	6/26/2023		3/31/2025
Active	Non Resident	Independent Adjuster	Workers' Compensation	6/26/2023		3/31/2025
* 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	01/15/2025	03/31/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Carmicle, Cynthia Leigh	506713	Independent Adjuster - Property & Casualty	10/5/2012	3/31/2023
Active	Landers, Carmen Nicole	939663	Independent Adjuster - Property & Casualty	6/26/2023
Active	Landers, Carmen Nicole	939663	Independent Adjuster - Workers' Compensation	6/26/2023
Inactive	Lindle, Shirley Boklage	656007	Independent Adjuster - Workers' Compensation	10/19/2012	10/1/2016
Inactive	Ned, Resauche	706073	Independent Adjuster - Workers' Compensation	10/19/2017	3/31/2023
Inactive	Salka, Glenn E	379497	Administrator - Not Applicable	9/12/1997	8/31/2010