DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Haupert, Ty	DOIID	597991	NAIC NPN	8301341

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	11/23/2004	7/1/2010
Inactive	Resident	Apprentice Adjuster	Not Applicable	11/3/2004	11/23/2004
Inactive	Non Resident	Staff Adjuster	Property & Casualty	9/21/2018	1/31/2021
* 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	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	1/31/2015

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Patmon, Kellee L	604195	Apprentice Adjuster - Not Applicable	3/2/2005	3/2/2006
Inactive	Yurocko, Leslie DeLong	604183	Apprentice Adjuster - Not Applicable	3/2/2005	4/12/2005

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Skidmore, Laura Koppert	557963	Apprentice Adjuster - Not Applicable	11/3/2004	11/23/2004