DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Keiffner, Connie Jo	DOIID	514533	NAIC NPN	7214803

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	6/28/2001	9/23/2002
Inactive	Resident	Adjuster	Workers' Compensation	7/9/2007	7/1/2010
Inactive	Resident	Apprentice Adjuster	Not Applicable	3/6/2007	7/9/2007
Inactive	Resident	Staff Adjuster	Workers' Compensation	7/1/2010	12/31/2017
* 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	Willis Administrative Services Corporation	394874	Adjuster - Independent	12/28/2001	4/30/2002

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fallahay, Kevin Joseph	332622	Apprentice Adjuster - Not Applicable	3/6/2007	7/9/2007