DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Faulconer, Teresa Faye	DOIID	361300	NAIC NPN	7196455

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	5/17/1999	8/15/2000
Inactive	Resident	Agent	Health	12/7/2000	8/1/2024
Inactive	Resident	Agent	Casualty	8/15/2000	8/1/2024
Inactive	Resident	Agent	Life	10/26/1998	8/1/2024
Inactive	Resident	Agent	Property	8/15/2000	8/1/2024
* 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	State Farm Fire and Casualty Company	301809	Agent - Casualty	8/15/2000	2/21/2006
Inactive	State Farm Fire and Casualty Company	301809	Agent - General Lines	5/17/1999	8/15/2000
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	8/15/2000	2/21/2006
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	8/15/2000	2/21/2006
Inactive	State Farm General Insurance Company	301122	Agent - General Lines	5/17/1999	8/15/2000
Inactive	State Farm General Insurance Company	301122	Agent - Property	8/15/2000	2/21/2006
Inactive	State Farm Life Insurance Company	301810	Agent - Life	10/26/1998	2/21/2006
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	8/15/2000	2/21/2006
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - General Lines	5/17/1999	8/15/2000
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	12/7/2000	12/18/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Joel Shaw Insurance Agency, Inc.	554065	Agent - Life	4/8/2004	2/21/2006
Inactive	Joel Shaw Insurance Agency, Inc.	554065	Agent - Health	4/8/2004	12/18/2006
Inactive	Joel Shaw Insurance Agency, Inc.	554065	Agent - Property	4/8/2004	2/21/2006
Inactive	Joel Shaw Insurance Agency, Inc.	554065	Agent - Casualty	4/8/2004	2/21/2006