DEPARTMENT OF INSURANCE

Affiliations

Name	Shelley, Elizabeth Ann	DOIID	338234	NAIC NPN	7186275

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	12/7/2000		4/30/2027
Active	Resident	Agent	Life	10/24/1995		4/30/2027
Active	Resident	Agent	Casualty	8/15/2000		4/30/2027
Active	Resident	Agent	Property	8/15/2000		4/30/2027
Inactive	Resident	Agent	General Lines	9/26/1995	8/15/2000
* 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	02/15/2025	04/30/2025	04/24/2025	04/24/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	2/28/2017	11/1/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	2/28/2017	11/1/2022
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	2/17/2015	11/14/2021
Inactive	American Family Home Insurance Company	301817	Agent - Property	2/17/2015	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	2/17/2015	12/13/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	2/17/2015	12/13/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	2/25/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	2/25/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	2/17/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	2/17/2015	11/14/2021
Active	American Strategic Insurance Corp	883540	Agent - Casualty	5/26/2020
Active	American Strategic Insurance Corp	883540	Agent - Property	5/26/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/31/2025
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/5/2012	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/5/2012	12/20/2024
Active	Dairyland Insurance Company	301370	Agent - Casualty	8/15/2012
Active	Dairyland Insurance Company	301370	Agent - Property	8/15/2012
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/5/2012
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/5/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/10/2006	4/2/2012
Inactive	Humana Insurance Company	301104	Agent - Health	1/10/2006	4/2/2012
Inactive	Humana Insurance Company	301104	Agent - Life	1/10/2006	4/2/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/9/2005	4/2/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/9/2005	4/2/2012
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	5/25/2012
Active	Progressive Casualty Insurance Company	300696	Agent - Property	5/25/2012
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	5/25/2012	12/2/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	5/25/2012	12/2/2013
Active	Shelter General Insurance Company	301109	Agent - Casualty	4/9/2012
Active	Shelter General Insurance Company	301109	Agent - Property	4/9/2012
Active	Shelter Life Insurance Company	300391	Agent - Health	4/9/2012
Active	Shelter Life Insurance Company	300391	Agent - Life	4/9/2012
Active	Shelter Mutual Insurance Company	301870	Agent - Casualty	4/9/2012
Active	Shelter Mutual Insurance Company	301870	Agent - Property	4/9/2012
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	8/15/2000	5/1/2012
Inactive	State Farm Fire and Casualty Company	301809	Agent - General Lines	9/26/1995	8/15/2000
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	8/15/2000	5/1/2012
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	8/15/2000	11/18/2010
Inactive	State Farm General Insurance Company	301122	Agent - General Lines	9/26/1995	8/15/2000
Inactive	State Farm General Insurance Company	301122	Agent - Property	8/15/2000	11/18/2010
Inactive	State Farm Life Insurance Company	301810	Agent - Life	10/24/1995	5/1/2012
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	8/15/2000	5/1/2012
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - General Lines	9/26/1995	8/15/2000
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	12/7/2000	5/1/2012
Inactive	Time Insurance Company	300683	Agent - Health	3/22/2013	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	3/22/2013	12/20/2014
Active	United Financial Casualty Company	301886	Agent - Casualty	5/25/2012
Active	United Financial Casualty Company	301886	Agent - Property	5/25/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Daniel Boone Agency, LLC.	515760	Agent - Life	5/11/2012
Active	Daniel Boone Agency, LLC.	515760	Agent - Health	5/11/2012
Active	Daniel Boone Agency, LLC.	515760	Agent - Property	5/11/2012
Active	Daniel Boone Agency, LLC.	515760	Agent - Casualty	5/11/2012
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	2/17/2025
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	2/17/2025
Active	Donna Payne Insurance Agency, Inc.	561349	Agent - Life	12/6/2002
Active	Donna Payne Insurance Agency, Inc.	561349	Agent - Health	12/6/2002
Active	Donna Payne Insurance Agency, Inc.	561349	Agent - Property	12/6/2002
Active	Donna Payne Insurance Agency, Inc.	561349	Agent - Casualty	12/6/2002
Active	Elizabeth Shelley Agency Inc	923269	Agent - Life	8/3/2016
Active	Elizabeth Shelley Agency Inc	923269	Agent - Health	8/3/2016
Active	Elizabeth Shelley Agency Inc	923269	Agent - Property	8/3/2016
Active	Elizabeth Shelley Agency Inc	923269	Agent - Casualty	8/3/2016
Active	Gateway Ins Marketing Inc	613567	Agent - Life	8/28/2012
Active	Gateway Ins Marketing Inc	613567	Agent - Health	8/28/2012