DEPARTMENT OF INSURANCE
Affiliations
NameHaynes, Dayshon NDOIID795636NAIC NPN16762887
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife10/23/20128/31/2014 
InactiveNon ResidentAgentHealth10/23/20128/31/2014 
ActiveNon ResidentStaff AdjusterProperty & Casualty2/6/2024 8/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Staff Adjuster06/15/202608/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Life Insurance Company301209Agent - Health11/1/20128/31/2014
InactiveAnthem Life Insurance Company301209Agent - Life11/1/20128/31/2014
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life11/1/20128/31/2014
InactiveDesignated Agent Company Inc.681257Agent - Health11/1/20128/31/2014

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