DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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		3/31/2027
Active	Non Resident	Independent Adjuster	Workers' Compensation	8/29/2023		3/31/2027
Active	Non Resident	Independent Adjuster	Property & Casualty	8/29/2023		3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

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