DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wagner, Tara Danielle	DOIID	589085	NAIC NPN	8068010

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	5/21/2004	7/1/2010
Inactive	Resident	Apprentice Adjuster	Not Applicable	5/6/2004	5/21/2004
Active	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010		9/30/2026
* 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
Staff Adjuster	07/15/2024	09/30/2024	07/10/2024	07/10/2024	Yes

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	State Farm Mutual Automobile Insurance Company	301732	Adjuster - Independent	7/18/2007	7/1/2010
Inactive	State Farm Mutual Automobile Insurance Company	301732	Staff Adjuster - Property & Casualty	7/1/2010	3/21/2016

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Boysen, Rhonda L	636585	Apprentice Adjuster - Not Applicable	7/24/2006	8/31/2006
Inactive	Casto, Patricia Ann	594902	Apprentice Adjuster - Not Applicable	9/1/2004	11/1/2004
Inactive	Delisle, Stepan	636151	Apprentice Adjuster - Not Applicable	7/17/2006	8/31/2006
Inactive	Gebhart, Andrea Erin	640933	Apprentice Adjuster - Not Applicable	9/26/2006	10/24/2006
Inactive	Williams, Chelsea Marlene	636178	Apprentice Adjuster - Not Applicable	7/17/2006	8/31/2006
Inactive	Wood, Tina R	636220	Apprentice Adjuster - Not Applicable	7/19/2006	8/31/2006

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Skidmore, Laura Koppert	557963	Apprentice Adjuster - Not Applicable	5/6/2004	5/21/2004