DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Usis, Inc.	DOIID	708529	NAIC NPN	9894689

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	9/14/2021		3/31/2025
Active	Non Resident	Independent Adjuster	Property & Casualty	8/29/2023		3/31/2025
Active	Non Resident	Independent Adjuster	Workers' Compensation	8/29/2023		3/31/2025
* 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
Administrator	01/15/2025	03/31/2025
Independent Adjuster	01/15/2025	03/31/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Boone, Samuel Ralph	709744	Administrator - Not Applicable	7/21/2009	3/31/2021
Active	Ross, Jennifer Lynn	1072774	Administrator - Not Applicable	9/14/2021
Active	Ross, Jennifer Lynn	1072774	Independent Adjuster - Property & Casualty	8/29/2023
Active	Ross, Jennifer Lynn	1072774	Independent Adjuster - Workers' Compensation	8/29/2023