DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Keller, Sharmaine Annette	DOIID	518191	NAIC NPN	847534

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	12/14/2006		11/30/2024
Active	Non Resident	Agent	Casualty	12/14/2006		11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Old Republic Insurance Company	301225	Agent - Casualty	2/20/2008
Active	Old Republic Insurance Company	301225	Agent - Property	2/20/2008
Inactive	U.S. Specialty Insurance Company	300186	Agent - Casualty	2/22/2008	1/26/2015
Inactive	U.S. Specialty Insurance Company	300186	Agent - Property	1/19/2004	10/29/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acrisure Affiliated Ins Agencies LLC	945179	Agent - Property	6/21/2019	7/3/2019
Inactive	Acrisure Affiliated Ins Agencies LLC	945179	Agent - Casualty	6/21/2019	7/3/2019
Active	Acrisure LLC	696181	Agent - Property	7/3/2019
Active	Acrisure LLC	696181	Agent - Casualty	7/3/2019
Inactive	Falcon Ins Agency Midwest Inc	605927	Agent - Property	2/20/2008	3/31/2023
Inactive	Falcon Ins Agency Midwest Inc	605927	Agent - Casualty	2/22/2008	3/31/2023