DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Independent Adjuster	06/15/2025	08/31/2025

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