DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hollis Sr, Wayman Jamal	DOIID	797493	NAIC NPN	16768243

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/9/2016	12/31/2017
Inactive	Non Resident	Agent	Casualty	3/9/2016	12/31/2017
Inactive	Non Resident	Independent Adjuster	Property & Casualty	11/14/2012	12/31/2015
Active	Non Resident	Staff Adjuster	Property & Casualty	8/29/2016		12/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	6/22/2016	8/31/2016
Inactive	Selective Insurance Company of America	500018	Agent - Property	6/22/2016	8/31/2016
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	6/22/2016	8/31/2016
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	6/22/2016	8/31/2016
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	6/22/2016	8/31/2016
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	6/22/2016	8/31/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Crawford & Company	401229	Independent Adjuster - Property & Casualty	10/1/2015	11/9/2015