DEPARTMENT OF INSURANCE

Affiliations

Name	Petersen, Shae	DOIID	1137968	NAIC NPN	19937459

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/4/2021	4/30/2025
Active	Non Resident	Agent	Property	6/4/2021	4/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Hagerty Ins Agency LLC	541031	Agent - Casualty
Denied	Hagerty Ins Agency LLC	541031	Agent - Property