DEPARTMENT OF INSURANCE

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
Active	Non Resident	Agent	Casualty	10/3/2016		8/31/2024
Active	Non Resident	Agent	Property	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2024	08/31/2024

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	Electric Insurance Company	301758	Agent - Casualty	10/5/2016	11/22/2022
Inactive	Electric Insurance Company	301758	Agent - Property	10/5/2016	11/22/2022
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

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Electric Insurance Agency, LLC	521813	Agent - Property	10/12/2016	11/22/2022
Inactive	Electric Insurance Agency, LLC	521813	Agent - Casualty	10/12/2016	11/22/2022