DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Blackburn, Shanna	DOIID	1215726	NAIC NPN	16551696

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/11/2022		3/31/2026
Active	Non Resident	Agent	Property	7/11/2022		3/31/2026
* 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
Active	Hartford Fire Insurance Company	300628	Agent - Casualty	7/14/2022
Active	Hartford Fire Insurance Company	300628	Agent - Property	7/14/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Nutmeg Insurance Agency, Inc.	502156	Agent - Casualty	7/14/2022
Active	Nutmeg Insurance Agency, Inc.	502156	Agent - Property	7/14/2022