DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Arnold, Tina Louise	DOIID	851413	NAIC NPN	4640516

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Independent Adjuster	Property & Casualty	9/10/2014		11/30/2024
Active	Non Resident	Independent Adjuster	Workers' Compensation	9/10/2014		11/30/2024
* 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	09/15/2024	11/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Broadspire Services, Inc.	396187	Independent Adjuster - Workers' Compensation	3/13/2019
Active	Broadspire Services, Inc.	396187	Independent Adjuster - Property & Casualty	3/13/2019
Active	Sedgwick Claims Management Service Inc	401194	Independent Adjuster - Workers' Compensation	6/12/2015
Active	Sedgwick Claims Management Service Inc	401194	Independent Adjuster - Property & Casualty	6/12/2015