DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	US Administrator Claims LLC	DOIID	744512	NAIC NPN	12919759

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	6/24/2022		3/31/2027
Active	Non Resident	Independent Adjuster	Property & Casualty	1/24/2011		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
Active	Chapman, Jessica Lynn	1025342	Independent Adjuster - Workers' Compensation	2/17/2023
Active	Goff, Michael Lee	317192	Administrator - Not Applicable	6/27/2022
Inactive	Greenwood, Sandra	621066	Independent Adjuster - Workers' Compensation	1/24/2011	5/20/2019
Active	Helton, Jana Lee	852409	Independent Adjuster - Workers' Compensation	10/31/2018