DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bermejo, Shelby Celeste	DOIID	1015422	NAIC NPN	18515736

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/17/2018	7/31/2021
Inactive	Non Resident	Agent	Casualty	10/17/2018	7/31/2021
* 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	All America Insurance Company	300078	Agent - Casualty	11/7/2018	3/9/2021
Inactive	All America Insurance Company	300078	Agent - Property	11/7/2018	3/9/2021
Inactive	Central Mutual Insurance Company	300965	Agent - Casualty	11/7/2018	3/9/2021
Inactive	Central Mutual Insurance Company	300965	Agent - Property	11/7/2018	3/9/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Central Insurex Agency Inc	833861	Agent - Casualty	11/7/2018	3/9/2021
Inactive	Central Insurex Agency Inc	833861	Agent - Property	11/7/2018	3/9/2021