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		10/31/2025
Active	Resident	Agent	Casualty	6/21/2021		10/31/2025
* 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	08/15/2025	10/31/2025

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