DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hollis Sr, Wayman Jamal	DOIID	797493	NAIC NPN	16768243

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/9/2016	12/31/2017
Inactive	Non Resident	Agent	Casualty	3/9/2016	12/31/2017
Inactive	Non Resident	Independent Adjuster	Property & Casualty	11/14/2012	12/31/2015
Active	Non Resident	Staff Adjuster	Property & Casualty	8/29/2016		12/31/2025
* 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
Staff Adjuster	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	6/22/2016	8/31/2016
Inactive	Selective Insurance Company of America	500018	Agent - Property	6/22/2016	8/31/2016
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	6/22/2016	8/31/2016
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	6/22/2016	8/31/2016
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	6/22/2016	8/31/2016
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	6/22/2016	8/31/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Crawford & Company	401229	Independent Adjuster - Property & Casualty	10/1/2015	11/9/2015