DEPARTMENT OF INSURANCE

Affiliations

Name	Tillett, Shelly Jean	DOIID	303576	NAIC NPN	7157267

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	5/27/2014		6/30/2025
Active	Resident	Agent	Health	9/30/2014		6/30/2025
Active	Resident	Agent	Life	9/26/2014		6/30/2025
Active	Resident	Agent	Property	5/27/2014		6/30/2025
Inactive	Resident	Agent	General Lines	6/28/1999	8/15/2000
Inactive	Resident	Agent	Assessment Chapter 299	8/24/1999	12/1/2000
Inactive	Resident	Agent	Limited Line Credit	5/2/2011	6/30/2013
* 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
Inactive	Allstate Indemnity Company	300778	Agent - General Lines	3/15/2000	8/15/2000
Inactive	Allstate Insurance Company	300773	Agent - General Lines	3/15/2000	8/15/2000
Active	American Economy Insurance Company	300315	Agent - Casualty	5/31/2022
Active	American Economy Insurance Company	300315	Agent - Property	5/31/2022
Inactive	American Health and Life Insurance Company	300844	Agent - Limited Line Credit	5/2/2011	12/5/2012
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	7/3/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	7/3/2019
Active	Ansur America Insurance Company	520667	Agent - Casualty	8/14/2019
Active	Ansur America Insurance Company	520667	Agent - Property	8/14/2019
Active	Anthem Life Insurance Company	301209	Agent - Health	11/24/2014
Active	Anthem Life Insurance Company	301209	Agent - Life	11/24/2014
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	4/27/2022
Active	Auto-Owners Insurance Company	301480	Agent - Property	4/27/2022
Active	Auto-Owners Life Insurance Company	301368	Agent - Life	4/27/2022
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	6/13/2014	6/10/2020
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	6/13/2014	6/10/2020
Inactive	Baptist Health Plan, Inc.	300157	Agent - Life	12/9/2014	3/31/2019
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	2/27/2019
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	2/27/2019
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	2/27/2019
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	2/27/2019
Active	Cincinnati Insurance Company	301298	Agent - Casualty	2/27/2019
Active	Cincinnati Insurance Company	301298	Agent - Property	2/27/2019
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	3/19/2015	12/15/2015
Inactive	Dairyland Insurance Company	301370	Agent - Property	3/19/2015	12/15/2015
Inactive	First Mutual Insurance Company	301258	Agent - Assessment Chapter 299	8/24/1999	12/1/2000
Active	Frankenmuth Insurance Company	301481	Agent - Casualty	8/14/2019
Active	Frankenmuth Insurance Company	301481	Agent - Property	8/14/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/3/2014	10/22/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/3/2014	10/22/2017
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	5/8/2000	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	5/8/2000	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	5/8/2000	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	5/8/2000	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	5/22/2000	8/15/2000
Active	Kentucky Home Life Insurance Company	300477	Agent - Health	11/3/2016
Active	Kentucky Home Life Insurance Company	300477	Agent - Life	11/3/2016
Active	Kentucky National Insurance Company	301625	Agent - Casualty	4/27/2020
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	6/28/1999	8/15/2000
Active	Kentucky National Insurance Company	301625	Agent - Property	4/27/2020
Active	Milbank Insurance Company	925185	Agent - Casualty	5/22/2019
Active	Milbank Insurance Company	925185	Agent - Property	5/22/2019
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	12/15/2022
Active	Ohio Casualty Insurance Company	301492	Agent - Property	12/15/2022
Active	Ohio Security Insurance Company	300622	Agent - Casualty	7/20/2020
Active	Ohio Security Insurance Company	300622	Agent - Property	7/20/2020
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/4/2021	6/15/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/4/2021	6/15/2021
Active	Owners Insurance Company	300796	Agent - Casualty	4/27/2022
Active	Owners Insurance Company	300796	Agent - Property	4/27/2022
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	1/15/2020
Active	SAFECO Insurance Company of America	300159	Agent - Property	1/15/2020
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	5/31/2022
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	5/31/2022
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	6/13/2014	6/10/2020
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	6/13/2014	6/10/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	12/30/2019
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	12/30/2019
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	6/13/2014	6/10/2020
Inactive	The Phoenix Insurance Company	301502	Agent - Property	6/13/2014	6/10/2020
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	6/13/2014	6/10/2020
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	6/13/2014	6/10/2020
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	6/13/2014	6/10/2020
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	6/13/2014	6/10/2020
Inactive	Triton Insurance Company	300654	Agent - Limited Line Credit	5/2/2011	12/5/2012
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	5/8/2000	8/15/2000
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/15/2015	12/2/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/15/2015	12/2/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/15/2015	8/30/2019
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/15/2015	4/30/2018
Active	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	8/21/2014
Active	Unitrin Auto and Home Insurance Company	301538	Agent - Property	8/21/2014
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/4/2021	6/15/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/4/2021	6/15/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	10/22/2020
Active	Westfield Insurance Company	301950	Agent - Property	10/22/2020
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/4/2021	6/15/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/4/2021	6/15/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/4/2021	6/15/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/4/2021	6/15/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/4/2021	6/15/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/4/2021	6/15/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Life	11/24/2014
Active	Designated Agent Company Inc.	681257	Agent - Health	11/24/2014
Inactive	Forsythe & Associates Inc.	400718	Agent - General Lines	10/23/1999	8/15/2000
Active	Jessie Insurance Danville LLC	1026513	Agent - Casualty	3/11/2019
Active	Jessie Insurance Danville LLC	1026513	Agent - Property	3/11/2019
Active	Jessie Insurance Danville LLC	1026513	Agent - Life	3/11/2019
Active	Jessie Insurance Danville LLC	1026513	Agent - Health	3/11/2019
Active	Johnson-Pohlmann Inc.	399739	Agent - Casualty	3/20/2015
Active	Johnson-Pohlmann Inc.	399739	Agent - Property	3/20/2015
Active	Johnson-Pohlmann Inc.	399739	Agent - Life	3/20/2015
Active	Johnson-Pohlmann Inc.	399739	Agent - Health	3/20/2015
Active	Keystone Ins & Benefits Group LLC	716920	Agent - Life	11/3/2014
Active	Keystone Ins & Benefits Group LLC	716920	Agent - Health	11/3/2014
Denied	Warman Insurance, LLC	578291	Agent - Casualty
Denied	Warman Insurance, LLC	578291	Agent - Property