DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Scally, Thomas	DOIID	541097	NAIC NPN	3630621

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	11/14/2001	2/28/2007
Inactive	Non Resident	Independent Adjuster	Property & Casualty	3/10/2017	2/28/2019
Inactive	Non Resident	Staff Adjuster	Property & Casualty	5/4/2009	3/3/2017
* 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	Sedgwick Claims Management Service Inc	401194	Staff Adjuster - Property & Casualty	11/27/2012	3/3/2017
Inactive	TIG Insurance Company	301750	Adjuster - Independent	11/14/2001	2/28/2007