DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shipp, Melody Dawn	DOIID	315977	NAIC NPN	7162944

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	12/8/1993	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	4/1/2010
Inactive	Resident	Agent	Health	11/3/1993	4/1/2010
Inactive	Resident	Agent	Life	11/3/1993	4/1/2010
Inactive	Resident	Agent	Property	8/15/2000	4/1/2010
* 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	Nationwide Assurance Company	300166	Agent - Casualty	8/15/2000	2/12/2009
Inactive	Nationwide Assurance Company	300166	Agent - General Lines	2/16/1994	8/15/2000
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	5/19/2005	2/12/2009
Inactive	Nationwide General Insurance Company	300603	Agent - Property	5/19/2005	2/12/2009
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	11/3/1993	2/12/2009
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	11/3/1993	2/12/2009
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	7/22/2008	2/12/2009
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	8/15/2000	2/12/2009
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - General Lines	12/8/1993	8/15/2000
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	8/15/2000	2/12/2009
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	8/15/2000	2/12/2009
Inactive	Nationwide Mutual Insurance Company	301749	Agent - General Lines	12/8/1993	8/15/2000
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	8/15/2000	2/12/2009
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	8/15/2000	2/12/2009
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - General Lines	12/8/1993	8/15/2000
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	8/15/2000	2/12/2009
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	2/7/2007	2/12/2009
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	2/7/2007	2/12/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Shipp Insurance Agency Inc.	400106	Agent - Life	1/13/2005	2/12/2009
Inactive	Shipp Insurance Agency Inc.	400106	Agent - Health	1/13/2005	2/12/2009
Inactive	Shipp Insurance Agency Inc.	400106	Agent - Property	1/13/2005	2/12/2009
Inactive	Shipp Insurance Agency Inc.	400106	Agent - Casualty	1/13/2005	2/12/2009