DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blackburn, Shannon	DOIID	1291037	NAIC NPN	14903483

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/10/2023		8/31/2027
Active	Non Resident	Agent	Casualty	8/10/2023		8/31/2027
* 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	06/15/2025	08/31/2025	07/01/2025	07/01/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	LM General Insurance Company	300133	Agent - Casualty	9/27/2024
Active	LM General Insurance Company	300133	Agent - Property	9/27/2024
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	11/25/2024
Active	Liberty Mutual Insurance Company	301159	Agent - Property	11/25/2024
Active	Liberty Mutual Personal Insurance Company	959584	Agent - Casualty	9/21/2024
Active	Liberty Mutual Personal Insurance Company	959584	Agent - Property	9/21/2024
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	4/7/2025
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	4/7/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Tpusa, Inc.	551795	Agent - Casualty	7/16/2025
Active	Tpusa, Inc.	551795	Agent - Property	7/16/2025