DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Phongsavath, Oudom	DOIID	977219	NAIC NPN	18601985

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	6/8/2021		1/31/2026
Active	Non Resident	Independent Adjuster	Property & Casualty	11/20/2017		1/31/2026
Active	Non Resident	Independent Adjuster	Workers' Compensation	11/20/2017		1/31/2026
* 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	Aig Claims Inc	401148	Independent Adjuster - Workers' Compensation	12/13/2017
Active	Aig Claims Inc	401148	Independent Adjuster - Property & Casualty	12/13/2017