DEPARTMENT OF INSURANCE

Affiliations

Name	Core Specialty Insurance Services, Inc.	DOIID	743450	NAIC NPN	14282508

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/2/2019		3/31/2026
Active	Non Resident	Agent	Casualty	11/3/2011		3/31/2026
Active	Non Resident	Agent	Property	11/3/2011		3/31/2026
Active	Non Resident	Independent Adjuster	Property & Casualty	11/13/2019		3/31/2026
Inactive	Non Resident	Managing General Agent	Not Applicable	10/27/2017	7/15/2021
Active	Non Resident	Surplus Lines Broker	Not Applicable	10/22/2021		3/31/2026
* 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
Agent	01/15/2026	03/31/2026
Independent Adjuster	01/15/2026	03/31/2026
Surplus Lines Broker	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Clear Spring Property and Casualty Company	301377	Agent - Casualty	10/24/2017	4/10/2024
Inactive	Clear Spring Property and Casualty Company	301377	Agent - Property	10/24/2017	4/10/2024
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	12/1/2011	7/5/2016
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	12/1/2011	7/5/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allen, Veronica G	829550	Independent Adjuster - Property & Casualty	7/12/2023
Active	Allen, Veronica G	829550	Independent Adjuster - Workers' Compensation	7/12/2023
Active	Anstedt, Daniel	1020359	Independent Adjuster - Property & Casualty	7/12/2023
Active	Barksdale, David Lance	671416	Independent Adjuster - Property & Casualty	4/25/2023
Active	Barnes, Louie S	1291155	Staff Adjuster - Property & Casualty	12/10/2024
Active	Bell, Novelette Simone	1231188	Independent Adjuster - Property & Casualty	7/12/2023
Active	Boberek, Christine M	318274	Independent Adjuster - Property & Casualty	7/12/2023
Active	Bourgeois, David A	980187	Independent Adjuster - Property & Casualty	7/12/2023
Active	Bruening, Jennifer	1374201	Independent Adjuster - Property & Casualty	12/10/2024
Active	Buckholz, Cynthia	879196	Independent Adjuster - Property & Casualty	4/25/2023
Active	Chang, Sarrah Maria	1006493	Staff Adjuster - Property & Casualty	12/10/2024
Active	Clemmons, Walter Fonda	1145633	Independent Adjuster - Property & Casualty	7/12/2023
Active	Clifford, Travis Lane	903920	Independent Adjuster - Property & Casualty	7/12/2023
Active	Cross, Janet Faye	345557	Independent Adjuster - Property & Casualty	7/12/2023
Active	Cusick-Carpenter, Susan	1095879	Independent Adjuster - Property & Casualty	2/5/2021
Active	Cusick-Carpenter, Susan	1095879	Independent Adjuster - Workers' Compensation	2/5/2021
Active	Dolan, Patrick Conroy	1293606	Staff Adjuster - Property & Casualty	12/10/2024
Active	Dunn, William John	756720	Independent Adjuster - Property & Casualty	7/12/2023
Active	Feller, Brad	1182905	Agent - Casualty	1/4/2024
Active	Feller, Brad	1182905	Agent - Property	1/4/2024
Inactive	Flaherty, Meghan Patrice	865906	Independent Adjuster - Property & Casualty	2/5/2021	7/31/2021
Active	Furrukh, Aftab	546873	Independent Adjuster - Property & Casualty	7/12/2023
Active	Goff, Adam Michael	962762	Staff Adjuster - Property & Casualty	12/10/2024
Active	Gray, Jessica	1040587	Independent Adjuster - Property & Casualty	5/16/2023
Active	Grenon, Gerald	694331	Independent Adjuster - Property & Casualty	7/12/2023
Active	Herr, Tamra J	941051	Independent Adjuster - Property & Casualty	4/25/2023
Active	Hill, Brentley Wayne	624243	Independent Adjuster - Property & Casualty	4/25/2023
Active	Hobdell, Jennifer Lynne	837896	Independent Adjuster - Property & Casualty	7/12/2023
Active	Hocko, Frank Joseph	696960	Independent Adjuster - Property & Casualty	7/12/2023
Active	James, Barbara Allen	604809	Independent Adjuster - Property & Casualty	7/12/2023
Active	Koeppel, Thomas A	990934	Independent Adjuster - Property & Casualty	7/12/2023
Active	Kofman, Eugene M	857599	Independent Adjuster - Property & Casualty	7/12/2023
Active	Kostyak, Keli Jo	923422	Independent Adjuster - Property & Casualty	4/25/2023
Active	Kulinski, Steven Paul	827834	Independent Adjuster - Property & Casualty	7/12/2023
Active	Luckett, Aisha	898526	Independent Adjuster - Property & Casualty	5/30/2023
Active	Madden, Nicole Michelle	653598	Independent Adjuster - Property & Casualty	7/12/2023
Active	Madson, Christopher	1060675	Independent Adjuster - Property & Casualty	4/25/2023
Active	McKee, Bryan T	846967	Independent Adjuster - Property & Casualty	7/12/2023
Active	Mcginnis, Scott Andrew	382630	Staff Adjuster - Property & Casualty	12/10/2024
Active	Menschenfreund, Lynn	782641	Independent Adjuster - Property & Casualty	5/30/2023
Active	Meyer, Monica Teresa	904171	Independent Adjuster - Property & Casualty	5/16/2023
Active	Newman, Adam	670939	Agent - Casualty	12/8/2020
Active	Newman, Adam	670939	Agent - Health	1/2/2019
Active	Newman, Adam	670939	Agent - Property	12/8/2020
Active	Newman, Adam	670939	Surplus Lines Broker - Not Applicable	10/22/2021
Active	Odalen, Matthew L	645909	Independent Adjuster - Property & Casualty	7/12/2023
Active	Overton, Stuart Milford	859674	Staff Adjuster - Property & Casualty	12/10/2024
Active	Padgett, Kathryn Eileen	917473	Independent Adjuster - Property & Casualty	7/12/2023
Active	Peck, Jeffrey Charles	876598	Independent Adjuster - Property & Casualty	7/12/2023
Active	Potente, Ryan A	964921	Independent Adjuster - Property & Casualty	7/12/2023
Active	Rembert, Joi	963138	Staff Adjuster - Property & Casualty	12/10/2024
Active	Rittman, Mark Ryan	1020143	Independent Adjuster - Property & Casualty	4/25/2023
Active	Rivera-Tapia, Yolanda	804882	Independent Adjuster - Property & Casualty	4/27/2023
Active	Robin, Wesley Alan	656011	Independent Adjuster - Property & Casualty	5/9/2023
Active	Rodgers, Gearo Clifton	728083	Independent Adjuster - Property & Casualty	9/5/2023
Active	Ruesewald, Ethan David	847062	Independent Adjuster - Property & Casualty	7/12/2023
Inactive	Rust Davis, Tiffany Suzanne	809325	Independent Adjuster - Property & Casualty	7/12/2023	9/6/2023
Active	Salinas, Kortney	1290236	Staff Adjuster - Property & Casualty	12/10/2024
Active	Schweiger, Matthew	984542	Independent Adjuster - Property & Casualty	7/12/2023
Active	Shoults, David Timothy	774460	Independent Adjuster - Property & Casualty	7/12/2023
Active	Sisk, Carl Adrian	955894	Independent Adjuster - Property & Casualty	7/12/2023
Active	Skinner, Kevin	1232777	Independent Adjuster - Property & Casualty	7/12/2023
Active	Smith, Jervise Duwayne	1232782	Independent Adjuster - Property & Casualty	7/12/2023
Active	Smith-Rodriguez, Monica A	990877	Independent Adjuster - Property & Casualty	7/12/2023
Active	Story, Kristie Katrell	984328	Independent Adjuster - Property & Casualty	7/12/2023
Inactive	Sudak, Brian A	992471	Independent Adjuster - Property & Casualty	5/9/2023	9/6/2023
Active	Trainer, Eric Smith	1087397	Staff Adjuster - Property & Casualty	12/10/2024
Inactive	Trimble, Robert L	742182	Agent - Casualty	11/3/2011	12/8/2020
Inactive	Trimble, Robert L	742182	Agent - Property	11/3/2011	12/8/2020
Active	Warriner, Travis Lee	967592	Independent Adjuster - Property & Casualty	7/12/2023
Active	Washington, Cassandra	1006388	Independent Adjuster - Property & Casualty	7/12/2023
Active	Watson, Daniel H	659094	Independent Adjuster - Property & Casualty	7/12/2023
Active	Wheeler, Stephanie Ann	1283312	Independent Adjuster - Property & Casualty	7/11/2023
Active	Wheeler, Stephanie Ann	1283312	Independent Adjuster - Workers' Compensation	7/11/2023
Active	Whetsell, Clayton Edward	1277522	Independent Adjuster - Property & Casualty	6/20/2023