DEPARTMENT OF INSURANCE

Affiliations

Name	Brotzge, Shelly Henson	DOIID	353839	NAIC NPN	3946770

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	9/7/1994	6/22/2006
Inactive	Resident	Agent	Property	8/15/2000	6/22/2006
Inactive	Resident	Agent	Health	9/7/1994	6/22/2006
Inactive	Resident	Agent	Casualty	8/15/2000	6/22/2006
Inactive	Resident	Agent	General Lines	9/17/1993	8/15/2000
Inactive	Resident	Property & Casualty Consultant	Not Applicable	6/28/2005	2/28/2009
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	4/18/2005	6/22/2006
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	4/18/2005	6/22/2006
Inactive	American Economy Insurance Company	300315	Agent - General Lines	9/17/1993	8/30/1996
Inactive	American States Insurance Company	301230	Agent - General Lines	9/17/1993	8/30/1996
Inactive	American States Life Insurance Company	301884	Agent - Health	9/7/1994	8/30/1996
Inactive	American States Life Insurance Company	301884	Agent - Life	9/7/1994	8/30/1996
Inactive	American States Preferred Insurance Company	300609	Agent - General Lines	9/17/1993	8/30/1996
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	2/6/2006	6/22/2006
Inactive	FCCI Insurance Company	557454	Agent - Casualty	2/17/2005	6/22/2006
Inactive	FCCI Insurance Company	557454	Agent - Property	2/17/2005	6/22/2006
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	8/15/2000	12/3/2004
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - General Lines	9/17/1996	8/15/2000
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	8/15/2000	12/3/2004
Inactive	Grange Insurance Company	300234	Agent - General Lines	10/13/1993	8/30/1996
Inactive	Grange Life Insurance Company	300128	Agent - Health	9/27/1994	8/30/1996
Inactive	Grange Life Insurance Company	300128	Agent - Life	9/27/1994	8/30/1996
Inactive	Illinois National Insurance Company	301367	Agent - General Lines	11/11/1993	8/30/1996
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	10/18/1993	8/30/1996
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	10/21/1994	8/30/1996
Inactive	LM Insurance Corporation	301061	Agent - Casualty	8/15/2000	12/3/2004
Inactive	LM Insurance Corporation	301061	Agent - General Lines	9/17/1996	8/15/2000
Inactive	LM Insurance Corporation	301061	Agent - Property	8/15/2000	12/3/2004
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	8/15/2000	12/3/2004
Inactive	Liberty Insurance Corporation	300444	Agent - General Lines	9/17/1996	8/15/2000
Inactive	Liberty Insurance Corporation	300444	Agent - Property	8/15/2000	12/3/2004
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	8/15/2000	12/3/2004
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - General Lines	9/17/1996	8/15/2000
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	8/15/2000	12/3/2004
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	8/15/2000	12/3/2004
Inactive	Liberty Mutual Insurance Company	301159	Agent - General Lines	9/17/1996	8/15/2000
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	8/15/2000	12/3/2004
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Health	9/17/1996	12/3/2004
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Life	9/17/1996	12/3/2004
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Casualty	2/17/2005	6/22/2006
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Property	2/17/2005	6/22/2006
Inactive	National Trust Insurance Company	300367	Agent - Casualty	2/17/2005	6/22/2006
Inactive	National Trust Insurance Company	300367	Agent - Property	2/17/2005	6/22/2006
Inactive	Stonington Insurance Company	300746	Agent - General Lines	6/7/1996	9/6/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Daugherty Insurance Agency Inc.	399208	Agent - Life	9/20/1994	8/30/1996
Inactive	Daugherty Insurance Agency Inc.	399208	Agent - Health	9/20/1994	8/30/1996
Inactive	Daugherty Insurance Agency Inc.	399208	Agent - General Lines	9/20/1994	8/30/1996
Inactive	Neace Lukens, Inc.	398909	Agent - Property	2/24/2005	6/5/2006
Inactive	Neace Lukens, Inc.	398909	Agent - Casualty	2/24/2005	6/5/2006