DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Urbanske, Jill Ann	DOIID	525204	NAIC NPN	3946154

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	4/25/2001	6/3/2005
Inactive	Non Resident	Staff Adjuster	Property & Casualty	8/11/2009	3/31/2018
* 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	CNA Claimplus, Inc	569456	Adjuster - Independent	5/13/2003	6/3/2005
Inactive	Farmers Property and Casualty Insurance Company	301237	Adjuster - Independent	4/25/2001	2/27/2002