DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Anderson, Antonique	DOIID	766319	NAIC NPN	7306829

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Independent Adjuster	Property & Casualty	6/23/2022		10/31/2024
Active	Non Resident	Independent Adjuster	Workers' Compensation	6/24/2022		10/31/2024
Inactive	Non Resident	Staff Adjuster	Property & Casualty	10/15/2020	6/23/2022
* 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	08/15/2024	10/31/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Withdrawn	QBE Americas Inc	741818	Independent Adjuster - Property & Casualty