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DEPARTMENT OF INSURANCE
Affiliations
Name
Pack, Shasta Renae
DOIID
336919
NAIC NPN
7185708
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Denied
Resident
Agent
Health
Denied
Resident
Agent
Life
Inactive
Resident
Agent
Property
8/15/2000
10/17/2002
Inactive
Resident
Agent
General Lines
11/3/1994
8/15/2000
Inactive
Resident
Agent
Assessment Chapter 299
10/15/1999
12/1/2000
Inactive
Resident
Agent
Casualty
8/15/2000
10/17/2002
* 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
American Economy Insurance Company
300315
Agent - Casualty
8/15/2000
10/17/2002
Inactive
American Economy Insurance Company
300315
Agent - General Lines
6/9/1997
8/15/2000
Inactive
American Economy Insurance Company
300315
Agent - Property
8/15/2000
10/17/2002
Inactive
American States Insurance Company
301230
Agent - Casualty
8/15/2000
10/17/2002
Inactive
American States Insurance Company
301230
Agent - General Lines
6/9/1997
8/15/2000
Inactive
American States Insurance Company
301230
Agent - Property
8/15/2000
10/17/2002
Inactive
American States Preferred Insurance Company
300609
Agent - Casualty
8/15/2000
10/17/2002
Inactive
American States Preferred Insurance Company
300609
Agent - General Lines
6/9/1997
8/15/2000
Inactive
American States Preferred Insurance Company
300609
Agent - Property
8/15/2000
10/17/2002
Inactive
Federal Insurance Company
301144
Agent - Casualty
8/15/2000
10/17/2002
Inactive
Federal Insurance Company
301144
Agent - General Lines
7/3/2000
8/15/2000
Inactive
Federal Insurance Company
301144
Agent - Property
8/15/2000
10/17/2002
Inactive
First Mutual Insurance Company
301258
Agent - Assessment Chapter 299
10/15/1999
12/1/2000
Inactive
First National Insurance Company of America
301690
Agent - Casualty
8/15/2000
10/17/2002
Inactive
First National Insurance Company of America
301690
Agent - General Lines
11/1/1998
8/15/2000
Inactive
First National Insurance Company of America
301690
Agent - Property
8/15/2000
10/17/2002
Inactive
General Insurance Company of America
300261
Agent - Casualty
8/15/2000
10/17/2002
Inactive
General Insurance Company of America
300261
Agent - General Lines
11/1/1998
8/15/2000
Inactive
General Insurance Company of America
300261
Agent - Property
8/15/2000
10/17/2002
Inactive
Great Northern Insurance Company
301107
Agent - Casualty
8/15/2000
10/17/2002
Inactive
Great Northern Insurance Company
301107
Agent - General Lines
7/3/2000
8/15/2000
Inactive
Great Northern Insurance Company
301107
Agent - Property
8/15/2000
10/17/2002
Inactive
Hartford Accident and Indemnity Company
301917
Agent - General Lines
4/27/1995
3/31/1996
Inactive
Hartford Casualty Insurance Company
301332
Agent - General Lines
4/27/1995
3/31/1996
Inactive
Hartford Fire Insurance Company
300628
Agent - General Lines
4/27/1995
3/31/1996
Inactive
Hartford Insurance Company of the Midwest
301918
Agent - General Lines
4/27/1995
3/31/1996
Inactive
Hartford Underwriters Insurance Company
301064
Agent - General Lines
4/27/1995
3/31/1996
Inactive
Kentucky National Insurance Company
301625
Agent - Casualty
8/15/2000
10/17/2002
Inactive
Kentucky National Insurance Company
301625
Agent - General Lines
10/20/1997
8/15/2000
Inactive
Kentucky National Insurance Company
301625
Agent - Property
8/15/2000
10/17/2002
Inactive
Lamorak Insurance Company
301231
Agent - Casualty
8/15/2000
10/17/2002
Inactive
Lamorak Insurance Company
301231
Agent - General Lines
4/18/1996
8/15/2000
Inactive
Lamorak Insurance Company
301231
Agent - Property
8/15/2000
10/17/2002
Inactive
Ohio Casualty Insurance Company
301492
Agent - General Lines
11/3/1994
3/31/1996
Inactive
Pacific Indemnity Company
301610
Agent - Casualty
8/15/2000
10/17/2002
Inactive
Pacific Indemnity Company
301610
Agent - General Lines
7/3/2000
8/15/2000
Inactive
Pacific Indemnity Company
301610
Agent - Property
8/15/2000
10/17/2002
Inactive
SAFECO Insurance Company of America
300159
Agent - Casualty
8/15/2000
10/17/2002
Inactive
SAFECO Insurance Company of America
300159
Agent - General Lines
11/1/1998
8/15/2000
Inactive
SAFECO Insurance Company of America
300159
Agent - Property
8/15/2000
10/17/2002
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - Casualty
8/15/2000
10/17/2002
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - General Lines
11/1/1998
8/15/2000
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - Property
8/15/2000
10/17/2002
Denied
Symetra Life Insurance Company
301691
Agent - Health
Denied
Symetra Life Insurance Company
301691
Agent - Life
Inactive
Twin City Fire Insurance Company
300721
Agent - General Lines
4/27/1995
3/31/1996
Inactive
Vigilant Insurance Company
301143
Agent - Casualty
8/15/2000
10/17/2002
Inactive
Vigilant Insurance Company
301143
Agent - General Lines
7/3/2000
8/15/2000
Inactive
Vigilant Insurance Company
301143
Agent - Property
8/15/2000
10/17/2002
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
The Elite Agency, Inc.
398505
Agent - General Lines
6/4/1998
8/15/2000
Inactive
The Elite Agency, Inc.
398505
Agent - Property
8/15/2000
10/17/2002
Inactive
The Elite Agency, Inc.
398505
Agent - Casualty
8/15/2000
10/17/2002
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