DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jansen, Thomas	DOIID	617427	NAIC NPN	8613727

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	11/4/2005	6/13/2008
Inactive	Resident	Apprentice Adjuster	Not Applicable	10/4/2005	11/4/2005
Inactive	Non Resident	Public Adjuster	Property & Casualty	12/17/2012	6/30/2021
* 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	6/13/2008

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Vassar, Michael William	586453	Apprentice Adjuster - Not Applicable	10/4/2005	11/4/2005