DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blackmon, Angela Renea	DOIID	559532	NAIC NPN	1231276

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	12/13/2002	2/17/2004
Pending Replacement	Non Resident	Independent Adjuster	Property & Casualty	9/24/2014		9/30/2024
Pending Replacement	Non Resident	Independent Adjuster	Workers' Compensation	4/30/2010		9/30/2024
* 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	07/15/2024	09/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	AIG Property Casualty Company	300621	Independent Adjuster - Property & Casualty	5/26/2022
Pending Replacement	Aig Claims Inc	401148	Independent Adjuster - Workers' Compensation	7/30/2010