DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shields, Susann E	DOIID	628914	NAIC NPN	2552222

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/7/2006	1/31/2016
Inactive	Non Resident	Agent	Casualty	4/7/2006	1/31/2016
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	10/19/2006	1/31/2016
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Marsh USA LLC.	514638	Agent - Property
Denied	Marsh USA LLC.	514638	Agent - Casualty
Inactive	Marsh USA LLC.	514638	Surplus Lines Broker - Not Applicable	6/20/2008	1/31/2016