DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shaw, Cynthia M	DOIID	664759	NAIC NPN	1805583

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	9/26/2014	11/1/2019
Inactive	Resident	Agent	Casualty	9/26/2014	11/1/2019
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	8/24/2016	5/23/2019
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	8/24/2016	5/23/2019
Inactive	All America Insurance Company	300078	Agent - Casualty	10/22/2014	11/1/2019
Inactive	All America Insurance Company	300078	Agent - Property	10/22/2014	11/1/2019
Inactive	Central Mutual Insurance Company	300965	Agent - Casualty	10/22/2014	11/1/2019
Inactive	Central Mutual Insurance Company	300965	Agent - Property	10/22/2014	11/1/2019
Inactive	Old Republic Insurance Company	301225	Agent - Casualty	8/18/2015	11/18/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Midwest LLC	517736	Agent - Casualty	10/22/2014	8/18/2016
Inactive	USI Midwest LLC	517736	Agent - Property	10/22/2014	8/18/2016
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	1/5/2016	5/15/2019
Inactive	Usi Insurance Services LLC	669260	Agent - Property	1/5/2016	5/15/2019