DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Teal, Karl Windell	DOIID	847057	NAIC NPN	17303492

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Independent Adjuster	Workers' Compensation	3/8/2019		5/31/2024
Pending Replacement	Non Resident	Independent Adjuster	Property & Casualty	3/8/2019		5/31/2024
Inactive	Non Resident	Staff Adjuster	Property & Casualty	8/1/2014	5/31/2018
* 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	03/15/2024	05/31/2024

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 - Workers' Compensation	3/11/2020	3/31/2022
Inactive	QBE Americas Inc	741818	Independent Adjuster - Property & Casualty	3/11/2020	3/31/2022