DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Squires, Annette J	DOIID	379818	NAIC NPN	7204527

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	2/12/1996	11/6/1996
Inactive	Resident	Agent	Life	2/12/1996	11/6/1996
Inactive	Resident	Independent Adjuster	Property & Casualty	4/24/2006	10/31/2011
* 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	Shelter Life Insurance Company	300391	Agent - Health	2/12/1996	11/6/1996
Inactive	Shelter Life Insurance Company	300391	Agent - Life	2/12/1996	11/6/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brentwood Services Administrators Inc.	397924	Independent Adjuster - Property & Casualty	6/24/2003	1/12/2004
Inactive	Davies Claims Solutions, LLC	548339	Independent Adjuster - Property & Casualty	4/23/2002	10/2/2003
Inactive	Willis Administrative Services Corporation	394874	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Willis of Louisville, Inc.	401313	Independent Adjuster - Property & Casualty	3/29/1994	4/20/1998