DEPARTMENT OF INSURANCE

Name	Massey, Jeffrey R	DOIID	327253	NAIC NPN	7174208

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	11/30/1999	7/1/2010
Inactive	Resident	Agent	Credit Life & Health	10/17/1994	3/31/1997
Withdrawn	Resident	Apprentice Adjuster	Not Applicable
Active	Resident	Staff Adjuster	Property & Casualty	1/13/2023		9/30/2024

*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
Staff Adjuster	07/15/2024	09/30/2024

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
Business / Home Office	12105 Edenwood Drive Louisville, KY 40243
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(502) 469-8996