DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Colliver, Shelby B	DOIID	1133957	NAIC NPN	19901827

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	6/14/2021		10/31/2027
Active	Resident	Agent	Casualty	6/21/2021		10/31/2027
* 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
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	7/12/2021
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	7/12/2021
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	7/12/2021
Active	Travelers Indemnity Company (The)	301855	Agent - Property	7/12/2021
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	7/12/2021
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	7/12/2021
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	7/12/2021
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	7/12/2021
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	7/12/2021
Active	Travelers Property Casualty Company of America	301649	Agent - Property	7/12/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Independent Equine Agents	399854	Agent - Casualty	1/21/2022
Active	Independent Equine Agents	399854	Agent - Property	1/21/2022