DEPARTMENT OF INSURANCE
Affiliations
NameShah, Jackylene DOIID1165580NAIC NPN18558519
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty10/11/2021 8/31/2024
ActiveNon ResidentAgentProperty10/11/2021 8/31/2024
ActiveNon ResidentSurplus Lines BrokerNot Applicable10/11/2021 8/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent06/15/202408/31/2024   
Surplus Lines Broker06/15/202408/31/2024   
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedAmwins Insurance Brokerage LLC624422Agent - Casualty  
DeniedAmwins Insurance Brokerage LLC624422Agent - Property  
ActiveAmwins Insurance Brokerage LLC624422Surplus Lines Broker - Not Applicable4/18/2022 

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