DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Van Stavern, Mykal Todd	DOIID	864461	NAIC NPN	7316559

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	7/29/2015	8/31/2017
Active	Non Resident	Independent Adjuster	Workers' Compensation	1/31/2023		8/31/2025
Active	Non Resident	Independent Adjuster	Property & Casualty	1/31/2023		8/31/2025
* 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	Broadspire Services, Inc.	396187	Independent Adjuster - Property & Casualty	3/10/2015	6/28/2016
Inactive	Broadspire Services, Inc.	396187	Administrator - Not Applicable	8/6/2015	6/28/2016
Inactive	Crawford & Company	401229	Independent Adjuster - Property & Casualty	12/31/2014	3/10/2015