DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Carlos, Shelby Rose	DOIID	1168137	NAIC NPN	17873142

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	10/21/2021		9/30/2024
Active	Non Resident	Agent	Casualty	10/21/2021		9/30/2024
* 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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Economy Insurance Company	300315	Agent - Casualty	3/30/2023	4/24/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	3/30/2023	4/24/2024
Inactive	American Strategic Insurance Corp	883540	Agent - Casualty	4/11/2022	6/10/2024
Inactive	American Strategic Insurance Corp	883540	Agent - Property	4/11/2022	6/10/2024
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	10/27/2021	1/12/2022
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/27/2021	1/12/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/28/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/28/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	1/19/2024	4/24/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	1/19/2024	4/24/2024
Inactive	Travelers Personal Insurance Company	705785	Agent - Casualty	5/25/2022	10/5/2023
Inactive	Travelers Personal Insurance Company	705785	Agent - Property	5/25/2022	10/5/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Elite Insurance Group, Inc	1068895	Agent - Casualty	1/7/2022	1/24/2022
Inactive	Elite Insurance Group, Inc	1068895	Agent - Property	1/7/2022	1/24/2022