DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mullis, Nicole Renee	DOIID	601218	NAIC NPN	8317356

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/12/2005	9/30/2007
Inactive	Non Resident	Agent	Casualty	1/12/2005	9/30/2007
Inactive	Non Resident	Agent	Property	1/12/2005	9/30/2007
* 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	Shelter General Insurance Company	301109	Agent - Casualty	1/12/2005	4/30/2005
Inactive	Shelter General Insurance Company	301109	Agent - Property	1/12/2005	4/30/2005
Inactive	Shelter Life Insurance Company	300391	Agent - Life	1/12/2005	4/30/2005
Inactive	Shelter Mutual Insurance Company	301870	Agent - Casualty	1/12/2005	4/30/2005
Inactive	Shelter Mutual Insurance Company	301870	Agent - Property	1/12/2005	4/30/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	HUB International Midwest Limited	398717	Agent - Casualty
Denied	HUB International Midwest Limited	398717	Agent - Life
Denied	HUB International Midwest Limited	398717	Agent - Property