DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Devereaux, Adrianne Kuiper	DOIID	881921	NAIC NPN	17235954

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	5/1/2019		7/31/2026
Active	Non Resident	Agent	Casualty	5/1/2019		7/31/2026
Inactive	Non Resident	Staff Adjuster	Property & Casualty	6/29/2015	7/31/2018
* 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
Agent	05/15/2024	07/31/2024	06/17/2024	06/17/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	11/29/2021	11/4/2022
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	11/29/2021	11/4/2022
Active	Farmers Insurance Exchange	300336	Agent - Casualty	6/23/2023
Active	Farmers Insurance Exchange	300336	Agent - Property	6/23/2023
Inactive	Midvale Indemnity Company	300292	Agent - Casualty	4/7/2022	9/7/2023
Inactive	Midvale Indemnity Company	300292	Agent - Property	4/7/2022	9/7/2023
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	11/29/2021	11/4/2022
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	11/29/2021	11/4/2022
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	11/29/2021	11/16/2023
Inactive	The Phoenix Insurance Company	301502	Agent - Property	11/29/2021	11/16/2023
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	11/29/2021	11/4/2022
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	11/29/2021	11/4/2022
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	11/29/2021
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	11/29/2021
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	11/29/2021	11/4/2022
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	11/29/2021	11/4/2022
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	11/29/2021
Active	Travelers Property Casualty Company of America	301649	Agent - Property	11/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fx Insurance Agency, LLC	646184	Agent - Casualty	6/26/2023
Active	Fx Insurance Agency, LLC	646184	Agent - Property	6/26/2023
Active	Kraft Lake Insurance Agency, Inc.	658511	Agent - Casualty	6/26/2023
Active	Kraft Lake Insurance Agency, Inc.	658511	Agent - Property	6/26/2023