DEPARTMENT OF INSURANCE

Affiliations

Name	Hamm, Phillip Douglas	DOIID	356135	NAIC NPN	6069441

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Adjuster	Independent	10/1/1986	9/2/1990
Inactive	Non Resident	Administrator	Not Applicable	12/21/1999	8/31/2013
* 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
Inactive	Specialty Benefits, Inc.	505530	Administrator - Not Applicable	12/21/1999	8/10/2012