DEPARTMENT OF INSURANCE

Name	Branch, Pamela Alyssa	DOIID	819066	NAIC NPN	17042359

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Non Resident	Agent	Health	9/3/2013	2/5/2016
Active	Non Resident	Independent Adjuster	Property & Casualty	8/19/2016		12/31/2024	Indiana

*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	10/15/2024	12/31/2024

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	One Qbe Way Sun Prairie, WI 535960001

Phone Information

Type	Phone
Business / Home Office	(608) 834-8397