DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Merritt, Ann Marie	DOIID	659518	NAIC NPN	8004719

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	7/12/2007	10/31/2008
Active	Non Resident	Independent Adjuster	Property & Casualty	2/15/2019		10/31/2024
Denied	Non Resident	Independent Adjuster	Workers' Compensation
Inactive	Non Resident	Staff Adjuster	Property & Casualty	12/17/2009	2/15/2019
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Independent Adjuster	08/15/2024	10/31/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Esis, Incorporated	398029	Independent Adjuster - Property & Casualty	8/29/2023