DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Rivera, Rosemarie Triplitt	DOIID	690902	NAIC NPN	10136593

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	7/11/2012	8/31/2024
Inactive	Non Resident	Independent Adjuster	Workers' Compensation	11/14/2008	8/31/2024
Active	Non Resident	Staff Adjuster	Workers' Compensation	11/20/2024		8/31/2026
* 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
Staff Adjuster	06/15/2026	08/31/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sedgwick Claims Management Service Inc	401194	Independent Adjuster - Workers' Compensation	11/30/2012	8/31/2024
Inactive	Sedgwick Claims Management Service Inc	401194	Independent Adjuster - Property & Casualty	11/30/2012	8/31/2024