DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Kaetzel, Edward Michael	DOIID	593435	NAIC NPN	5328187

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	8/26/2004	7/31/2008
Inactive	Resident	Apprentice Adjuster	Not Applicable	8/4/2004	8/26/2004
Active	Non Resident	Staff Adjuster	Property & Casualty	12/6/2011		7/31/2024
* 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
Staff Adjuster	05/15/2024	07/31/2024

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	7/31/2008

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Davis, Justin L	604182	Apprentice Adjuster - Not Applicable	3/2/2005	3/17/2005
Inactive	Kugel, Robert Frederick	600819	Apprentice Adjuster - Not Applicable	1/5/2005	2/21/2005

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Smith, W. D.	584012	Apprentice Adjuster - Not Applicable	8/4/2004	8/26/2004