DEPARTMENT OF INSURANCE

Affiliations

Name	Stephany, Michelle Ann	DOIID	773234	NAIC NPN	7592772

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Independent Adjuster	Property & Casualty	1/25/2012	2/28/2014
Inactive	Non Resident	Staff Adjuster	Property & Casualty	4/24/2015	2/28/2018
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	QBE Americas Inc	741818	Independent Adjuster - Property & Casualty	4/24/2013	8/27/2013