DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blackburn, Shannon	DOIID	1291037	NAIC NPN	14903483

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/10/2023		8/31/2027
Active	Non Resident	Agent	Casualty	8/10/2023		8/31/2027
* 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	LM General Insurance Company	300133	Agent - Casualty	9/27/2024
Active	LM General Insurance Company	300133	Agent - Property	9/27/2024
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	11/25/2024
Active	Liberty Mutual Insurance Company	301159	Agent - Property	11/25/2024
Active	Liberty Mutual Personal Insurance Company	959584	Agent - Casualty	9/21/2024
Active	Liberty Mutual Personal Insurance Company	959584	Agent - Property	9/21/2024
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	4/7/2025
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	4/7/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Tpusa, Inc.	551795	Agent - Casualty	7/16/2025
Active	Tpusa, Inc.	551795	Agent - Property	7/16/2025