DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Suller, Shaun Andrew	DOIID	1213825	NAIC NPN	8150591

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/29/2022		10/31/2024
Active	Non Resident	Agent	Casualty	6/29/2022		10/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	7/29/2022
Active	Travelers Indemnity Company (The)	301855	Agent - Property	7/29/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Patra Corporation	804810	Agent - Casualty	7/29/2022
Active	Patra Corporation	804810	Agent - Property	7/29/2022