DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Willenborg, Shane Grayson	DOIID	1091424	NAIC NPN	19584801

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/29/2020		5/31/2026
Active	Non Resident	Agent	Property	7/29/2020		5/31/2026
* 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	03/15/2024	05/31/2024	05/24/2024	05/24/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	National Specialty Insurance Company	300993	Agent - Casualty	8/1/2022
Active	National Specialty Insurance Company	300993	Agent - Property	8/1/2022
Active	Next Insurance US Company	1083825	Agent - Casualty	7/21/2022
Active	Next Insurance US Company	1083825	Agent - Property	7/21/2022
Active	State National Insurance Company, Inc.	300888	Agent - Casualty	8/1/2022
Active	State National Insurance Company, Inc.	300888	Agent - Property	8/1/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Next First Insurance Agency, Inc.	1065117	Agent - Casualty	9/9/2022
Active	Next First Insurance Agency, Inc.	1065117	Agent - Property	9/9/2022
Active	Next Ins Inc	908040	Agent - Casualty	9/9/2022
Active	Next Ins Inc	908040	Agent - Property	9/9/2022