DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Vandergiessen, Shane Matthew	DOIID	1301271	NAIC NPN	15115353

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	9/26/2023		11/30/2027
Active	Non Resident	Agent	Casualty	9/26/2023		11/30/2027
* 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	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/4/2023
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/4/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Trucordia Insurance Services, LLC	976137	Agent - Casualty	5/6/2025
Active	Trucordia Insurance Services, LLC	976137	Agent - Property	5/6/2025