DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hassebroek, Jeff	DOIID	896124	NAIC NPN	8809792

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Independent Adjuster	Property & Casualty	10/20/2015	5/31/2019
Active	Non Resident	Staff Adjuster	Workers' Compensation	1/30/2023		5/31/2025
Active	Non Resident	Staff Adjuster	Property & Casualty	1/30/2023		5/31/2025
* 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
Active	Auto-Owners Insurance Company	301480	Staff Adjuster - Workers' Compensation	4/4/2023
Active	Auto-Owners Insurance Company	301480	Staff Adjuster - Property & Casualty	4/4/2023
Inactive	Cunningham Lindsey U. S. Inc.	401331	Independent Adjuster - Property & Casualty	12/30/2015	3/31/2019