DEPARTMENT OF INSURANCE

Affiliations

Name	Black, Sheryl	DOIID	684336	NAIC NPN	11059499

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/3/2020		11/30/2027
Active	Non Resident	Agent	Property	12/3/2020		11/30/2027
Inactive	Non Resident	Agent	Life	6/16/2017	11/30/2019
Inactive	Non Resident	Agent	Health	9/17/2017	11/30/2019
* 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	21st Century North America Insurance Company	300884	Agent - Casualty	7/2/2014	12/16/2015
Inactive	21st Century North America Insurance Company	300884	Agent - Property	7/2/2014	12/16/2015
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	3/11/2021	11/15/2024
Inactive	Allstate Indemnity Company	300778	Agent - Property	3/11/2021	11/15/2024
Inactive	Allstate Insurance Company	300773	Agent - Casualty	3/11/2021	11/15/2024
Inactive	Allstate Insurance Company	300773	Agent - Property	3/11/2021	11/15/2024
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	3/11/2021	11/15/2024
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	3/11/2021	11/15/2024
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	3/11/2021	11/15/2024
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	3/11/2021	11/15/2024
Inactive	American Economy Insurance Company	300315	Agent - Casualty	6/28/2022	11/5/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	6/28/2022	11/5/2024
Inactive	American Strategic Insurance Corp	883540	Agent - Casualty	5/5/2021	6/15/2025
Inactive	American Strategic Insurance Corp	883540	Agent - Property	5/5/2021	6/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/4/2018	11/30/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/4/2018	11/30/2019
Active	Bristol West Insurance Company	301655	Agent - Casualty	5/3/2025
Active	Bristol West Insurance Company	301655	Agent - Property	5/3/2025
Inactive	Esurance Insurance Company	301072	Agent - Casualty	6/26/2014	7/1/2016
Inactive	Esurance Insurance Company	301072	Agent - Property	6/26/2014	7/1/2016
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	8/18/2021	2/12/2025
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	8/18/2021	2/12/2025
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	8/18/2021	2/12/2025
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	8/18/2021	2/12/2025
Inactive	Federal Insurance Company	301144	Agent - Health	4/19/2018	11/30/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/3/2025
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/3/2025
Active	GEICO Marine Insurance Company	590512	Agent - Casualty	6/17/2025
Active	GEICO Marine Insurance Company	590512	Agent - Property	6/17/2025
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/22/2018	12/3/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/22/2018	12/3/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/29/2017	3/27/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/29/2017	3/27/2018
Inactive	Humana Insurance Company	301104	Agent - Health	9/29/2017	3/27/2018
Inactive	Humana Insurance Company	301104	Agent - Life	9/29/2017	3/27/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/29/2017	3/27/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/29/2017	3/27/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/29/2017	3/27/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/29/2017	3/27/2018
Inactive	Independence American Insurance Company	524747	Agent - Health	5/21/2018	12/11/2019
Inactive	Permanent General Assurance Corporation of Ohio	709250	Agent - Casualty	7/8/2014	6/1/2017
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/16/2025
Active	Progressive Casualty Insurance Company	300696	Agent - Property	7/16/2025
Active	Root Insurance Company	964834	Agent - Casualty	3/17/2025
Active	Root Insurance Company	964834	Agent - Property	3/17/2025
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/7/2014	7/19/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/7/2014	7/19/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/7/2014	7/19/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/7/2014	7/19/2017
Inactive	Travelers Personal Insurance Company	705785	Agent - Casualty	7/19/2021	2/10/2025
Inactive	Travelers Personal Insurance Company	705785	Agent - Property	7/19/2021	2/10/2025
Active	United Financial Casualty Company	301886	Agent - Casualty	7/16/2025
Active	United Financial Casualty Company	301886	Agent - Property	7/16/2025
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/20/2017	2/12/2019
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/7/2018	12/11/2018
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	10/7/2018	12/11/2018
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/7/2018	12/11/2018
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/7/2018	12/11/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/4/2018	11/30/2019
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/4/2018	11/30/2019
Inactive	General Automobile Ins Services Inc	706632	Agent - Casualty	12/21/2016	7/19/2017
Inactive	Policygenius LLC	874468	Agent - Property	8/25/2021	11/11/2024
Inactive	Policygenius LLC	874468	Agent - Casualty	8/25/2021	11/11/2024
Active	Savvy Insurance Agency, LLC	1245246	Agent - Property	3/7/2025
Active	Savvy Insurance Agency, LLC	1245246	Agent - Casualty	3/7/2025
Active	Savvy Insurance Solutions, LLC	1069167	Agent - Property	3/7/2025
Active	Savvy Insurance Solutions, LLC	1069167	Agent - Casualty	3/7/2025
Denied	TZ Insurance Solutions LLC	727470	Agent - Property
Denied	TZ Insurance Solutions LLC	727470	Agent - Casualty
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	12/5/2017	4/16/2018
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	12/5/2017	4/16/2018