DEPARTMENT OF INSURANCE

Affiliations

Name	Potter, Katherine E	DOIID	863650	NAIC NPN	16958832

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Independent Adjuster	Workers' Compensation	12/16/2014	4/30/2022
* 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	Tristar Claims Management Services, Inc	401153	Independent Adjuster - Workers' Compensation	3/1/2019	4/30/2022