DEPARTMENT OF INSURANCE

Affiliations

Name	Holden, Sara Kay	DOIID	728565	NAIC NPN	8901773

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Independent Adjuster	Workers' Compensation	10/23/2012	4/30/2014
Inactive	Non Resident	Independent Adjuster	Property & Casualty	10/23/2012	4/30/2014
* 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	Specialty Risk Services LLC	596363	Independent Adjuster - Workers' Compensation	6/4/2010	1/9/2012