DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Douglas, Shannon Renee	DOIID	536288	NAIC NPN	7219102

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	1/16/2002	9/24/2004
Inactive	Resident	Agent	Health	1/16/2002	9/24/2004
Inactive	Resident	Agent	Property	8/1/2002	9/24/2004
Inactive	Resident	Agent	Casualty	8/6/2002	9/24/2004
* 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	Independent Mutual Fire Insurance Company	300851	Agent - Casualty	9/9/2004	9/24/2004
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Property	9/9/2004	9/24/2004
Inactive	Shelter General Insurance Company	301109	Agent - Casualty	8/6/2002	9/3/2004
Inactive	Shelter General Insurance Company	301109	Agent - Property	8/1/2002	9/3/2004
Inactive	Shelter Life Insurance Company	300391	Agent - Health	1/16/2002	9/3/2004
Inactive	Shelter Life Insurance Company	300391	Agent - Life	1/16/2002	9/3/2004
Inactive	Shelter Mutual Insurance Company	301870	Agent - Casualty	8/6/2002	9/3/2004
Inactive	Shelter Mutual Insurance Company	301870	Agent - Property	8/1/2002	9/3/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	9/9/2004	9/24/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	9/9/2004	9/24/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Life	2/27/2003	9/3/2004
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Health	2/27/2003	9/3/2004
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Casualty	2/27/2003	9/3/2004
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Property	2/27/2003	9/3/2004