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	Workers' Compensation	2/18/2021		4/30/2026
Active	Non Resident	Independent Adjuster	Property & Casualty	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.

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