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		11/30/2025
Active	Non Resident	Agent	Casualty	9/26/2023		11/30/2025
* 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	09/15/2025	11/30/2025

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