DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dembsky, Greg A	DOIID	583218	NAIC NPN	7970252

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	1/20/2004	12/26/2008
Inactive	Non Resident	Independent Adjuster	Workers' Compensation	7/19/2010	7/19/2010
Inactive	Non Resident	Independent Adjuster	Property & Casualty	7/19/2010	6/30/2016
* 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	Adjuster - Independent	8/12/2005	12/26/2008
Inactive	Sedgwick Claims Management Service Inc	401194	Independent Adjuster - Property & Casualty	11/20/2012	6/30/2016