DEPARTMENT OF INSURANCE

Name	Gorman, Simona	DOIID	1103714	NAIC NPN	19657877

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Active	Non Resident	Independent Adjuster	Workers' Compensation	10/8/2020		11/30/2024	Texas
Active	Non Resident	Independent Adjuster	Property & Casualty	10/8/2020		11/30/2024	Texas

*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	09/15/2024	11/30/2024

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	125 High Street Boston, MA 02110