DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shah, Jackylene	DOIID	1165580	NAIC NPN	18558519

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	10/11/2021		8/31/2026
Active	Non Resident	Agent	Casualty	10/11/2021		8/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	10/11/2021		8/31/2026
* 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
Active	United States Fire Insurance Company	582240	Agent - Casualty	8/22/2024
Active	United States Fire Insurance Company	582240	Agent - Property	8/22/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Amwins Insurance Brokerage LLC	624422	Agent - Casualty
Denied	Amwins Insurance Brokerage LLC	624422	Agent - Property
Active	Amwins Insurance Brokerage LLC	624422	Surplus Lines Broker - Not Applicable	4/18/2022