DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Xercor Ins Services LLC	DOIID	904699	NAIC NPN	17687370

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/26/2016		3/31/2026
Active	Non Resident	Agent	Casualty	1/26/2016		3/31/2026
Active	Non Resident	Independent Adjuster	Property & Casualty	2/17/2017		3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Old Republic Insurance Company	301225	Agent - Property	9/16/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Escobar Bustos, Adrian	1263480	Independent Adjuster - Property & Casualty	4/30/2024
Active	Jasionowski, Andrea	918785	Independent Adjuster - Property & Casualty	4/30/2024
Active	Jasionowski, Evan Wade	1052371	Independent Adjuster - Property & Casualty	5/8/2024
Inactive	Koch, Rachel E	917237	Independent Adjuster - Property & Casualty	2/17/2017	4/30/2024
Active	Kramer, Kristen Marie	1266371	Independent Adjuster - Property & Casualty	4/30/2024
Active	Lee, Brynn	1222534	Agent - Casualty	5/8/2024
Active	Lee, Brynn	1222534	Agent - Property	5/8/2024
Active	Lee, Maureen A	724940	Agent - Casualty	1/26/2016
Active	Lee, Maureen A	724940	Agent - Property	1/26/2016
Active	Lee, Maureen A	724940	Independent Adjuster - Property & Casualty	4/30/2024
Active	Marowelli, Jordan Milam	1158854	Independent Adjuster - Property & Casualty	4/30/2024
Active	Maurizio, Jacob	1084994	Independent Adjuster - Property & Casualty	4/30/2024
Active	Padgett, Jon Michael	1273161	Independent Adjuster - Property & Casualty	4/30/2024
Active	Simms, Kelsey Colleen	1057252	Agent - Casualty	5/8/2024
Active	Simms, Kelsey Colleen	1057252	Agent - Property	5/8/2024
Active	Ware, Holly D	1275593	Independent Adjuster - Property & Casualty	4/30/2024
Active	Westmoreland, Courtney Renee	1273205	Independent Adjuster - Property & Casualty	4/30/2024