DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Grayson, Melissa Ann	DOIID	742679	NAIC NPN	1239538

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Independent Adjuster	Workers' Compensation	12/12/2016		11/30/2024
Active	Non Resident	Independent Adjuster	Property & Casualty	12/12/2016		11/30/2024
Inactive	Non Resident	Staff Adjuster	Property & Casualty	11/18/2010	12/1/2016
* 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	09/15/2024	11/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sedgwick Claims Management Service Inc	401194	Staff Adjuster - Property & Casualty	11/27/2012	12/1/2016