DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bates, Carey L	DOIID	864479	NAIC NPN	16932133

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	7/15/2016	7/31/2022
Active	Non Resident	Independent Adjuster	Property & Casualty	3/16/2023		7/31/2026
* 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	05/15/2024	07/31/2024	06/03/2024	06/03/2024	Yes

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 - Property & Casualty	3/22/2023
Inactive	Broadspire Services, Inc.	396187	Administrator - Not Applicable	11/8/2016	7/31/2022
Inactive	Crawford & Company	401229	Independent Adjuster - Property & Casualty	12/31/2014	3/10/2015