DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Medina, Shelly	DOIID	1167790	NAIC NPN	19863418

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	10/20/2021		6/30/2027
Active	Non Resident	Agent	Casualty	10/20/2021		6/30/2027
* 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	04/15/2025	06/30/2025	05/01/2025	05/01/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Metropolitan General Insurance Company	300709	Agent - Casualty	1/23/2024
Active	Metropolitan General Insurance Company	300709	Agent - Property	1/23/2024
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	1/10/2022	7/3/2023
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	1/10/2022	7/3/2023
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	1/10/2022	7/3/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Property	4/14/2022	7/3/2023