DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shepard, Molly	DOIID	679392	NAIC NPN	682104

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Non Resident	Agent	Health
Inactive	Non Resident	Agent	Casualty	12/4/2008	1/24/2017
Inactive	Non Resident	Agent	Property	12/4/2008	1/24/2017
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	12/4/2008	1/24/2017
* 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	Atlantic Specialty Insurance Company	518595	Agent - Casualty	5/22/2012	1/24/2017
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Property	5/22/2012	1/24/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Swett & Crawford	513269	Agent - Property
Denied	Swett & Crawford	513269	Agent - Casualty
Inactive	Swett & Crawford	513269	Surplus Lines Broker - Not Applicable	7/28/2009	1/24/2017