DEPARTMENT OF INSURANCE

Affiliations

Name	Core Specialty Insurance Services, Inc.	DOIID	743450	NAIC NPN	14282508

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/2/2019		3/31/2026
Active	Non Resident	Agent	Casualty	11/3/2011		3/31/2026
Active	Non Resident	Agent	Property	11/3/2011		3/31/2026
Active	Non Resident	Independent Adjuster	Property & Casualty	11/13/2019		3/31/2026
Inactive	Non Resident	Managing General Agent	Not Applicable	10/27/2017	7/15/2021
Active	Non Resident	Surplus Lines Broker	Not Applicable	10/22/2021		3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Clear Spring Property and Casualty Company	301377	Agent - Casualty	10/24/2017	4/10/2024
Inactive	Clear Spring Property and Casualty Company	301377	Agent - Property	10/24/2017	4/10/2024
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	12/1/2011	7/5/2016
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	12/1/2011	7/5/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allen, Veronica G	829550	Independent Adjuster - Property & Casualty	7/12/2023
Active	Allen, Veronica G	829550	Independent Adjuster - Workers' Compensation	7/12/2023
Active	Anstedt, Daniel	1020359	Independent Adjuster - Property & Casualty	7/12/2023
Active	Barksdale, David Lance	671416	Independent Adjuster - Property & Casualty	4/25/2023
Active	Bell, Novelette Simone	1231188	Independent Adjuster - Property & Casualty	7/12/2023
Active	Boberek, Christine M	318274	Independent Adjuster - Property & Casualty	7/12/2023
Active	Bourgeois, David A	980187	Independent Adjuster - Property & Casualty	7/12/2023
Active	Buckholz, Cynthia	879196	Independent Adjuster - Property & Casualty	4/25/2023
Active	Clemmons, Walter Fonda	1145633	Independent Adjuster - Property & Casualty	7/12/2023
Active	Clifford, Travis Lane	903920	Independent Adjuster - Property & Casualty	7/12/2023
Active	Cross, Janet Faye	345557	Independent Adjuster - Property & Casualty	7/12/2023
Active	Cusick-Carpenter, Susan	1095879	Independent Adjuster - Property & Casualty	2/5/2021
Active	Cusick-Carpenter, Susan	1095879	Independent Adjuster - Workers' Compensation	2/5/2021
Active	Dunn, William John	756720	Independent Adjuster - Property & Casualty	7/12/2023
Active	Feller, Brad	1182905	Agent - Casualty	1/4/2024
Active	Feller, Brad	1182905	Agent - Property	1/4/2024
Inactive	Flaherty, Meghan Patrice	865906	Independent Adjuster - Property & Casualty	2/5/2021	7/31/2021
Active	Furrukh, Aftab	546873	Independent Adjuster - Property & Casualty	7/12/2023
Active	Gray, Jessica	1040587	Independent Adjuster - Property & Casualty	5/16/2023
Active	Grenon, Gerald	694331	Independent Adjuster - Property & Casualty	7/12/2023
Active	Herr, Tamra J	941051	Independent Adjuster - Property & Casualty	4/25/2023
Active	Hill, Brentley Wayne	624243	Independent Adjuster - Property & Casualty	4/25/2023
Active	Hobdell, Jennifer Lynne	837896	Independent Adjuster - Property & Casualty	7/12/2023
Active	Hocko, Frank Joseph	696960	Independent Adjuster - Property & Casualty	7/12/2023
Active	James, Barbara Allen	604809	Independent Adjuster - Property & Casualty	7/12/2023
Active	Koeppel, Thomas A	990934	Independent Adjuster - Property & Casualty	7/12/2023
Active	Kofman, Eugene M	857599	Independent Adjuster - Property & Casualty	7/12/2023
Active	Kostyak, Keli Jo	923422	Independent Adjuster - Property & Casualty	4/25/2023
Active	Kulinski, Steven Paul	827834	Independent Adjuster - Property & Casualty	7/12/2023
Active	Luckett, Aisha	898526	Independent Adjuster - Property & Casualty	5/30/2023
Active	Madden, Nicole Michelle	653598	Independent Adjuster - Property & Casualty	7/12/2023
Active	Madson, Christopher	1060675	Independent Adjuster - Property & Casualty	4/25/2023
Active	McKee, Bryan T	846967	Independent Adjuster - Property & Casualty	7/12/2023
Active	Menschenfreund, Lynn	782641	Independent Adjuster - Property & Casualty	5/30/2023
Active	Meyer, Monica Teresa	904171	Independent Adjuster - Property & Casualty	5/16/2023
Active	Newman, Adam	670939	Agent - Casualty	12/8/2020
Active	Newman, Adam	670939	Agent - Health	1/2/2019
Active	Newman, Adam	670939	Agent - Property	12/8/2020
Active	Newman, Adam	670939	Surplus Lines Broker - Not Applicable	10/22/2021
Active	Odalen, Matthew L	645909	Independent Adjuster - Property & Casualty	7/12/2023
Active	Padgett, Kathryn Eileen	917473	Independent Adjuster - Property & Casualty	7/12/2023
Active	Peck, Jeffrey Charles	876598	Independent Adjuster - Property & Casualty	7/12/2023
Active	Potente, Ryan A	964921	Independent Adjuster - Property & Casualty	7/12/2023
Active	Rittman, Mark Ryan	1020143	Independent Adjuster - Property & Casualty	4/25/2023
Active	Rivera-Tapia, Yolanda	804882	Independent Adjuster - Property & Casualty	4/27/2023
Active	Robin, Wesley Alan	656011	Independent Adjuster - Property & Casualty	5/9/2023
Active	Rodgers, Gearo Clifton	728083	Independent Adjuster - Property & Casualty	9/5/2023
Active	Ruesewald, Ethan David	847062	Independent Adjuster - Property & Casualty	7/12/2023
Inactive	Rust Davis, Tiffany Suzanne	809325	Independent Adjuster - Property & Casualty	7/12/2023	9/6/2023
Active	Schweiger, Matthew	984542	Independent Adjuster - Property & Casualty	7/12/2023
Active	Shoults, David Timothy	774460	Independent Adjuster - Property & Casualty	7/12/2023
Active	Sisk, Carl Adrian	955894	Independent Adjuster - Property & Casualty	7/12/2023
Active	Skinner, Kevin	1232777	Independent Adjuster - Property & Casualty	7/12/2023
Active	Smith, Jervise Duwayne	1232782	Independent Adjuster - Property & Casualty	7/12/2023
Active	Smith-Rodriguez, Monica A	990877	Independent Adjuster - Property & Casualty	7/12/2023
Active	Story, Kristie Katrell	984328	Independent Adjuster - Property & Casualty	7/12/2023
Inactive	Sudak, Brian A	992471	Independent Adjuster - Property & Casualty	5/9/2023	9/6/2023
Inactive	Trimble, Robert L	742182	Agent - Casualty	11/3/2011	12/8/2020
Inactive	Trimble, Robert L	742182	Agent - Property	11/3/2011	12/8/2020
Active	Warriner, Travis Lee	967592	Independent Adjuster - Property & Casualty	7/12/2023
Active	Washington, Cassandra	1006388	Independent Adjuster - Property & Casualty	7/12/2023
Active	Watson, Daniel H	659094	Independent Adjuster - Property & Casualty	7/12/2023
Active	Wheeler, Stephanie Ann	1283312	Independent Adjuster - Property & Casualty	7/11/2023
Active	Wheeler, Stephanie Ann	1283312	Independent Adjuster - Workers' Compensation	7/11/2023
Active	Whetsell, Clayton Edward	1277522	Independent Adjuster - Property & Casualty	6/20/2023