DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Key Risk Management Services, LLC	DOIID	654312	NAIC NPN	8098320

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Independent Adjuster	Property & Casualty	4/25/2007	3/31/2019
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Burleson, Anne S	701101	Independent Adjuster - Workers' Compensation	4/3/2009	7/1/2010
Inactive	Burleson, Anne S	701101	Staff Adjuster - Workers' Compensation	7/14/2010	8/31/2012
Inactive	Guy, Charles Bruce	394081	Independent Adjuster - Property & Casualty	4/25/2007	4/3/2009
Inactive	Scott, Latanya M	749419	Staff Adjuster - Workers' Compensation	3/23/2011	3/31/2019