DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Potter, Lori J	DOIID	768460	NAIC NPN	3823976

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/8/2011		5/31/2025
Active	Non Resident	Agent	Casualty	11/8/2011		5/31/2025
* 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
Agent	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	NOVA Casualty Company	622806	Agent - Casualty	11/12/2012
Active	NOVA Casualty Company	622806	Agent - Property	11/12/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Safehold Special Risk, Inc	658217	Agent - Property	11/12/2012
Active	Safehold Special Risk, Inc	658217	Agent - Casualty	11/12/2012