DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pikka, Shannon R	DOIID	645035	NAIC NPN	8955596

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	7/19/2018	10/31/2019
Inactive	Non Resident	Agent	Property	7/19/2018	10/31/2019
Inactive	Non Resident	Agent	Health	11/28/2006	11/5/2010
* 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 Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	7/26/2018	1/22/2019
Inactive	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	7/26/2018	1/22/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/31/2018	5/15/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/31/2018	5/15/2019
Inactive	Homesite Insurance Company	301139	Agent - Casualty	8/9/2018	5/16/2019
Inactive	Homesite Insurance Company	301139	Agent - Property	8/9/2018	5/16/2019
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	8/9/2018	5/16/2019
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	8/9/2018	5/16/2019
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/29/2009	4/1/2010
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/27/2008	4/1/2010
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/15/2008	11/5/2010
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/15/2008	4/1/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Property	7/26/2018	3/15/2019
Inactive	American Family Connect Insurance Agency, Inc.	619157	Agent - Casualty	7/26/2018	3/15/2019