DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shelton, Micah Danielle	DOIID	1250413	NAIC NPN	18172144

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/9/2023		5/31/2027
Active	Non Resident	Agent	Life	1/9/2023		5/31/2027
Active	Non Resident	Agent	Health	1/9/2023		5/31/2027
Active	Non Resident	Agent	Property	1/9/2023		5/31/2027
* 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	03/15/2025	05/31/2025	03/21/2025	03/21/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	7/19/2023
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	7/19/2023
Active	American Zurich Insurance Company	300592	Agent - Casualty	7/19/2023
Active	American Zurich Insurance Company	300592	Agent - Property	7/19/2023
Active	Guardian Life Insurance Company of America	301316	Agent - Health	10/2/2023
Active	Guardian Life Insurance Company of America	301316	Agent - Life	10/2/2023
Active	Technology Insurance Company	613278	Agent - Casualty	2/21/2023
Active	Technology Insurance Company	613278	Agent - Property	2/21/2023
Active	Zurich American Insurance Company	301121	Agent - Casualty	7/19/2023
Active	Zurich American Insurance Company	301121	Agent - Property	7/19/2023
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	7/19/2023
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	7/19/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hylant Group, Inc.	523019	Agent - Casualty	5/10/2023
Active	Hylant Group, Inc.	523019	Agent - Life	10/2/2023
Active	Hylant Group, Inc.	523019	Agent - Health	10/2/2023
Active	Hylant Group, Inc.	523019	Agent - Property	5/10/2023
Inactive	Patriot Growth Insurance Services LLC	1002152	Agent - Casualty	2/21/2023	4/14/2023
Denied	Patriot Growth Insurance Services LLC	1002152	Agent - Life
Denied	Patriot Growth Insurance Services LLC	1002152	Agent - Health
Inactive	Patriot Growth Insurance Services LLC	1002152	Agent - Property	2/21/2023	4/14/2023
Active	Pumpkin Insurance Services Inc	1034415	Agent - Casualty	2/21/2023
Active	Pumpkin Insurance Services Inc	1034415	Agent - Property	2/21/2023