DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shields, Bobby Jean	DOIID	682714	NAIC NPN	7004537

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/12/2008		1/31/2025
Active	Non Resident	Agent	Health	6/12/2008		1/31/2025
Active	Non Resident	Agent	Life	6/12/2008		1/31/2025
Active	Non Resident	Agent	Property	6/12/2008		1/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dairyland Insurance Company	301370	Agent - Property	10/6/2010	7/9/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	8/14/2008	11/10/2016
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	8/14/2008	11/10/2016
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	8/14/2008	12/24/2008
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	8/14/2008	12/24/2008
Inactive	Rural Community Insurance Company	301891	Agent - Casualty	9/25/2009	1/20/2016
Inactive	Rural Community Insurance Company	301891	Agent - Property	9/25/2009	1/20/2016
Inactive	Westfield Insurance Company	301950	Agent - Casualty	11/17/2009	11/25/2014
Inactive	Westfield Insurance Company	301950	Agent - Property	11/17/2009	11/25/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	USI Insurance Services National, Inc	509421	Agent - Life
Denied	USI Insurance Services National, Inc	509421	Agent - Health
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	6/4/2013	5/6/2014
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	6/4/2013	5/6/2014
Denied	Usi Insurance Services LLC	669260	Agent - Life
Denied	Usi Insurance Services LLC	669260	Agent - Health
Inactive	Usi Insurance Services LLC	669260	Agent - Property	6/5/2014	5/13/2015
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	6/5/2014	5/13/2015
Denied	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Life
Denied	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Health
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Property	8/14/2008	6/4/2013
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Casualty	8/14/2008	6/4/2013