DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Jones, Sally	DOIID	694781	NAIC NPN	6610721

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Independent Adjuster	Property & Casualty	2/18/2021		4/30/2026
Active	Non Resident	Independent Adjuster	Workers' Compensation	2/18/2021		4/30/2026
Inactive	Non Resident	Staff Adjuster	Workers' Compensation	6/20/2018	4/30/2020
* 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	02/15/2026	04/30/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Broadspire Services, Inc.	396187	Independent Adjuster - Workers' Compensation	7/26/2012	4/30/2014
Inactive	Specialty Risk Services LLC	596363	Independent Adjuster - Workers' Compensation	2/12/2010	4/30/2012