DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Connelly, Charles Timothy	DOIID	701578	NAIC NPN	9174567

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	3/31/2009	5/25/2010
Active	Non Resident	Independent Adjuster	Property & Casualty	3/14/2024		11/30/2026
* 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
Independent Adjuster	09/15/2026	11/30/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Custard Insurance Adjusters Inc.	401182	Independent Adjuster - Property & Casualty	10/31/2024
Active	Riverwood Claims Management, Inc.	1120701	Independent Adjuster - Property & Casualty	11/2/2024