DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Brosious-Shaw, Lisa L	DOIID	749175	NAIC NPN	7398217

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Independent Adjuster	Property & Casualty	2/2/2022		2/28/2027
Active	Non Resident	Independent Adjuster	Workers' Compensation	2/2/2022		2/28/2027
Inactive	Non Resident	Staff Adjuster	Property & Casualty	3/2/2011	6/6/2019
* 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
Independent Adjuster	12/15/2026	02/28/2027

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Athens Program Ins Services LLC	948440	Independent Adjuster - Property & Casualty	7/5/2023
Active	Athens Program Ins Services LLC	948440	Independent Adjuster - Workers' Compensation	7/5/2023