DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Onb Benefits Administration, LLC DBA : Jwf Specialty Company, JWF SPECIALTY COMPANY, Jwf Specialty Company	DOIID	634663	NAIC NPN	8723697

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	3/22/2024		3/31/2028
Active	Non Resident	Agent	Property	9/24/2015		3/31/2028
Active	Non Resident	Agent	Casualty	9/24/2015		3/31/2028
Active	Non Resident	Independent Adjuster	Property & Casualty	4/14/2022		3/31/2028
Active	Non Resident	Independent Adjuster	Workers' Compensation	4/14/2022		3/31/2028
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	NOVA Casualty Company	622806	Agent - Casualty	11/1/2015	1/22/2020
Inactive	NOVA Casualty Company	622806	Agent - Property	11/1/2015	1/22/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Amos, Denise Rochelle	374225	Staff Adjuster - Workers' Compensation	5/22/2026
Active	Baird, Andrea	350012	Independent Adjuster - Property & Casualty	11/13/2023
Active	Baird, Andrea	350012	Independent Adjuster - Workers' Compensation	12/29/2025
Active	Bockholdt, Nina	1033059	Independent Adjuster - Property & Casualty	11/13/2023
Active	Bockholdt, Nina	1033059	Independent Adjuster - Workers' Compensation	11/13/2023
Active	Brown, Lisa Devine	592221	Independent Adjuster - Property & Casualty	12/29/2025
Active	Carroll, Eileen	813260	Independent Adjuster - Property & Casualty	12/29/2025
Active	Cerimele, Sandra	1289469	Administrator - Not Applicable	3/28/2024
Active	Cerimele, Sandra	1289469	Agent - Casualty	2/6/2024
Active	Cerimele, Sandra	1289469	Agent - Property	2/6/2024
Inactive	Dickman, Thomas C	367901	Agent - Casualty	9/23/2015	1/29/2024
Inactive	Dickman, Thomas C	367901	Agent - Property	9/23/2015	1/29/2024
Active	Friend, Michelle Lynn	1347600	Independent Adjuster - Property & Casualty	12/29/2025
Active	Kopf, Peggy Leticia	809520	Staff Adjuster - Property & Casualty	12/29/2025
Active	Libby, Blair Robert	1138320	Independent Adjuster - Property & Casualty	12/29/2025
Active	Libby, Blair Robert	1138320	Independent Adjuster - Workers' Compensation	12/29/2025
Active	Phares, Lonnie	1184858	Independent Adjuster - Property & Casualty	11/13/2023
Active	Phares, Lonnie	1184858	Independent Adjuster - Workers' Compensation	11/13/2023
Active	Williamson, Elden A	341701	Staff Adjuster - Workers' Compensation	12/29/2025