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DEPARTMENT OF INSURANCE
Affiliations
Name
Clark, Shane
DOIID
1372438
NAIC NPN
3314244
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Casualty
11/15/2024
9/30/2027
Active
Non Resident
Agent
Property
11/15/2024
9/30/2027
Active
Non Resident
Agent
Health
11/15/2024
9/30/2027
Active
Non Resident
Agent
Life
11/15/2024
9/30/2027
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Pending
The Underwriters Group, Inc
674720
Agent - Casualty
Pending
The Underwriters Group, Inc
674720
Agent - Life
Pending
The Underwriters Group, Inc
674720
Agent - Health
Pending
The Underwriters Group, Inc
674720
Agent - Property
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