DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Black, Jennifer Ann	DOIID	647689	NAIC NPN	7923743

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	1/16/2007	7/14/2011
Inactive	Non Resident	Independent Adjuster	Property & Casualty	7/13/2011	4/30/2020
Inactive	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010	7/14/2011
* 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	QBE Americas Inc	741818	Independent Adjuster - Property & Casualty	6/28/2017	1/7/2020