DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Register, Shalon R	DOIID	1257628	NAIC NPN	3536515

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/22/2023		10/31/2024
Active	Non Resident	Agent	Property	2/22/2023		10/31/2024
Active	Non Resident	Agent	Casualty	2/22/2023		10/31/2024
Active	Non Resident	Agent	Health	2/22/2023		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
Inactive	Direct General Life Insurance Company	301045	Agent - Life	2/23/2023	5/4/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/22/2023	5/15/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/22/2023	5/15/2023
Inactive	National General Insurance Company	300152	Agent - Casualty	2/23/2023	5/4/2023
Inactive	National General Insurance Company	300152	Agent - Property	2/23/2023	5/4/2023
Active	National Specialty Insurance Company	300993	Agent - Casualty	8/21/2023
Active	National Specialty Insurance Company	300993	Agent - Property	8/21/2023
Active	Next Insurance US Company	1083825	Agent - Casualty	8/18/2023
Active	Next Insurance US Company	1083825	Agent - Property	8/18/2023
Active	State National Insurance Company, Inc.	300888	Agent - Casualty	8/21/2023
Active	State National Insurance Company, Inc.	300888	Agent - Property	8/21/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Affinity Brokerage, LLC	544886	Agent - Casualty	2/27/2023	5/10/2023
Inactive	Affinity Brokerage, LLC	544886	Agent - Property	2/27/2023	5/10/2023
Inactive	CWI, LLC	662170	Agent - Casualty	2/27/2023	5/10/2023
Inactive	CWI, LLC	662170	Agent - Property	2/27/2023	5/10/2023
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Casualty	2/27/2023	5/10/2023
Inactive	Camping World Insurance Services of Kentucky, LLC	663187	Agent - Property	2/27/2023	5/10/2023
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Casualty	2/27/2023	5/10/2023
Inactive	Direct General Insurance Agency Inc	1018980	Agent - Property	2/27/2023	5/10/2023
Inactive	National General Ins Marketing Inc	621228	Agent - Casualty	3/3/2023	5/10/2023
Inactive	National General Ins Marketing Inc	621228	Agent - Property	3/3/2023	5/10/2023
Active	Next First Insurance Agency, Inc.	1065117	Agent - Casualty	8/29/2023
Active	Next First Insurance Agency, Inc.	1065117	Agent - Property	8/29/2023
Active	Next Ins Inc	908040	Agent - Casualty	8/29/2023
Active	Next Ins Inc	908040	Agent - Property	8/29/2023