DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Sandra L	DOIID	718821	NAIC NPN	15361930

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	3/8/2010	7/1/2010
Inactive	Resident	Apprentice Adjuster	Not Applicable	12/3/2009	3/8/2010
Active	Non Resident	Staff Adjuster	Property & Casualty	7/1/2010		4/30/2027
* 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
Staff Adjuster	02/15/2025	04/30/2025	03/16/2025	03/16/2025	Yes

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Adjuster - Independent	3/25/2010	7/1/2010
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Staff Adjuster - Property & Casualty	7/1/2010	9/13/2010

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Youngblood, Gregory Doyle	385919	Apprentice Adjuster - Not Applicable	12/3/2009	3/8/2010