DEPARTMENT OF INSURANCE

Name	Theriault, Bethany L	DOIID	574244	NAIC NPN	7568057

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Administrator	Not Applicable	9/29/2003	9/30/2021
Active	Non Resident	Independent Adjuster	Workers' Compensation	9/12/2024		9/30/2025	New York

*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	07/15/2025	09/30/2025

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	Disability Reinsurance Management Servcies, Inc. 300 Southborough Dr Ste 200South Portland, ME 041066914
Residence	Not Public Information

Internet Information

Type	Address
Business Email	btheriault@yourbenefitexpert.com

Phone Information

Type	Phone
Business / Home Office	(207) 766-3422