DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Xercor Ins Services LLC	DOIID	904699	NAIC NPN	17687370

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/26/2016		3/31/2026
Active	Non Resident	Agent	Casualty	1/26/2016		3/31/2026
Active	Non Resident	Independent Adjuster	Property & Casualty	2/17/2017		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	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026
Independent Adjuster	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Old Republic Insurance Company	301225	Agent - Property	9/16/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Escobar Bustos, Adrian	1263480	Independent Adjuster - Property & Casualty	4/30/2024
Active	Jasionowski, Andrea	918785	Independent Adjuster - Property & Casualty	4/30/2024
Active	Jasionowski, Evan Wade	1052371	Independent Adjuster - Property & Casualty	5/8/2024
Inactive	Koch, Rachel E	917237	Independent Adjuster - Property & Casualty	2/17/2017	4/30/2024
Active	Kramer, Kristen Marie	1266371	Independent Adjuster - Property & Casualty	4/30/2024
Active	Lee, Brynn	1222534	Agent - Casualty	5/8/2024
Active	Lee, Brynn	1222534	Agent - Property	5/8/2024
Active	Lee, Maureen A	724940	Agent - Casualty	1/26/2016
Active	Lee, Maureen A	724940	Agent - Property	1/26/2016
Active	Lee, Maureen A	724940	Independent Adjuster - Property & Casualty	4/30/2024
Active	Marowelli, Jordan Milam	1158854	Independent Adjuster - Property & Casualty	4/30/2024
Active	Maurizio, Jacob	1084994	Independent Adjuster - Property & Casualty	4/30/2024
Active	Padgett, Jon Michael	1273161	Independent Adjuster - Property & Casualty	4/30/2024
Active	Simms, Kelsey Colleen	1057252	Agent - Casualty	5/8/2024
Active	Simms, Kelsey Colleen	1057252	Agent - Property	5/8/2024
Active	Ware, Holly D	1275593	Independent Adjuster - Property & Casualty	4/30/2024
Active	Westmoreland, Courtney Renee	1273205	Independent Adjuster - Property & Casualty	4/30/2024