DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bradshaw, Nancy A	DOIID	641846	NAIC NPN	6780723

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/11/2006	10/31/2018
Inactive	Non Resident	Agent	Casualty	10/11/2006	10/31/2018
Inactive	Non Resident	Agent	Property	10/11/2006	10/31/2018
Inactive	Non Resident	Agent	Life	10/11/2006	10/31/2018
* 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	American Modern Home Insurance Company	300791	Agent - Casualty	5/20/2015	11/20/2018
Inactive	American Modern Home Insurance Company	300791	Agent - Property	5/20/2015	11/20/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	5/20/2015	11/20/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Property	5/20/2015	11/20/2018
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	5/20/2015	11/20/2018
Inactive	American Southern Home Insurance Company	626276	Agent - Property	5/20/2015	11/20/2018
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	12/7/2006	4/27/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/17/2007	12/26/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/17/2007	12/26/2017
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	4/5/2007	10/31/2018
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	4/5/2007	10/31/2018
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	5/31/2017	10/31/2018
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	5/31/2017	10/31/2018
Inactive	Shelter General Insurance Company	301109	Agent - Casualty	10/23/2006	2/26/2018
Inactive	Shelter General Insurance Company	301109	Agent - Property	10/23/2006	2/26/2018
Inactive	Shelter Life Insurance Company	300391	Agent - Health	10/23/2006	2/26/2018
Inactive	Shelter Life Insurance Company	300391	Agent - Life	10/23/2006	2/26/2018
Inactive	Shelter Mutual Insurance Company	301870	Agent - Casualty	10/23/2006	2/26/2018
Inactive	Shelter Mutual Insurance Company	301870	Agent - Property	10/23/2006	2/26/2018

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	1/23/2007	2/26/2018
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Health	1/23/2007	2/26/2018
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Property	1/23/2007	10/31/2018
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Casualty	1/23/2007	10/31/2018