DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shaw, Stacey Michelle	DOIID	1180133	NAIC NPN	20187188

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	1/12/2022	7/7/2023
Inactive	Non Resident	Agent	Casualty	1/12/2022	7/7/2023
Inactive	Non Resident	Independent Adjuster	Property & Casualty	12/28/2021	8/18/2023
* 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
Inactive	New Hampshire Insurance Company	301670	Agent - Casualty	1/12/2022	7/7/2023
Inactive	New Hampshire Insurance Company	301670	Agent - Property	1/12/2022	7/7/2023
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	1/26/2022	6/28/2023
Inactive	Zurich American Insurance Company	301121	Agent - Property	1/26/2022	6/28/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Likewize Agency, LLC	704487	Agent - Casualty	5/21/2022	7/7/2023
Inactive	Likewize Agency, LLC	704487	Agent - Property	5/21/2022	7/7/2023
Inactive	Likewize Device Protection ,LLC	877600	Independent Adjuster - Property & Casualty	5/21/2022	8/18/2023