DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Short, C David	DOIID	586784	NAIC NPN	2774044

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/25/2004	5/31/2017
Inactive	Non Resident	Agent	Casualty	3/25/2004	5/31/2017
* 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	Fireman's Fund Insurance Company	301423	Agent - Casualty	9/30/2004	5/31/2017
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	9/30/2004	5/31/2017
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	11/25/2008	5/31/2017
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	11/25/2008	5/31/2017
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	11/25/2008	5/31/2017
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	11/25/2008	5/31/2017
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	11/25/2008	5/31/2017
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	11/25/2008	5/31/2017
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	3/1/2017	5/31/2017
Inactive	Pie Insurance Company (The)	300514	Agent - Property	3/1/2017	5/31/2017
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	6/10/2004	5/31/2017
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	6/10/2004	5/31/2017
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	6/10/2004	5/31/2017
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	6/10/2004	5/31/2017
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	5/11/2004	11/5/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	5/11/2004	11/5/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis of North Carolina, Inc.	558918	Agent - Property	8/5/2011	1/13/2017
Inactive	Willis of North Carolina, Inc.	558918	Agent - Casualty	8/5/2011	1/13/2017