DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Helm, Shannon Nicole	DOIID	637258	NAIC NPN	8874236

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	8/28/2006	9/15/2023
Inactive	Resident	Agent	Casualty	8/28/2006	9/15/2023
Inactive	Resident	Surplus Lines Broker	Not Applicable	8/6/2019	9/15/2023
* 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	Nationwide Assurance Company	300166	Agent - Casualty	9/12/2006	10/24/2007
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	9/12/2006	10/24/2007
Inactive	Nationwide General Insurance Company	300603	Agent - Property	9/12/2006	10/24/2007
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	9/12/2006	10/24/2007
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	9/12/2006	10/24/2007
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	9/12/2006	10/24/2007
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	9/12/2006	10/24/2007
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	9/12/2006	10/24/2007
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	9/12/2006	10/24/2007
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	2/7/2007	10/24/2007
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	2/7/2007	10/24/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	RSG Specialty, LLC	726176	Agent - Casualty
Denied	RSG Specialty, LLC	726176	Agent - Property
Inactive	RSG Specialty, LLC	726176	Surplus Lines Broker - Not Applicable	10/11/2020	9/15/2023