DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Guernsey, Shelby	DOIID	1074812	NAIC NPN	16218731

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	2/18/2020	1/17/2023
Inactive	Non Resident	Agent	Property	2/18/2020	1/17/2023
* 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	Farmington Casualty Company	301137	Agent - Casualty	5/27/2020	11/4/2022
Inactive	Farmington Casualty Company	301137	Agent - Property	5/27/2020	11/4/2022
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	5/6/2020	11/4/2022
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	5/6/2020	11/4/2022
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	5/6/2020	11/4/2022
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	5/6/2020	11/4/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Patra Corporation	804810	Agent - Casualty	6/30/2020	9/18/2020
Inactive	Patra Corporation	804810	Agent - Property	6/30/2020	9/18/2020