DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Russell, Shannon G	DOIID	520924	NAIC NPN	3834141

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/3/2016	8/31/2024
Inactive	Non Resident	Agent	Casualty	10/3/2016	8/31/2024
* 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	American Modern Home Insurance Company	300791	Agent - Casualty	10/11/2016	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/11/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	10/11/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	10/11/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	8/24/2015	9/10/2015
Inactive	American Southern Home Insurance Company	626276	Agent - Property	8/24/2015	9/10/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/17/2016	11/30/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/17/2016	11/30/2022
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Casualty	10/5/2016	11/22/2022
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Property	10/5/2016	11/22/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	RiverStone Internation U.S., LLC	521813	Agent - Property	10/12/2016	11/22/2022
Inactive	RiverStone Internation U.S., LLC	521813	Agent - Casualty	10/12/2016	11/22/2022