DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shaw, Tanner	DOIID	797827	NAIC NPN	16822404

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	11/19/2012	1/31/2017
Inactive	Non Resident	Agent	Property	11/19/2012	1/31/2017
Inactive	Non Resident	Agent	Health	4/18/2013	1/31/2017
* 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	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	3/12/2013	12/9/2013
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	3/12/2013	12/9/2013
Inactive	New York Life Insurance Company	300431	Agent - Health	6/4/2013	8/19/2015
Inactive	Response Insurance Company	300240	Agent - Casualty	1/18/2013	1/2/2014
Inactive	Response Insurance Company	300240	Agent - Property	1/18/2013	1/2/2014
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	3/12/2013	1/31/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	3/12/2013	1/31/2017
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	3/12/2013	12/21/2015
Inactive	The Phoenix Insurance Company	301502	Agent - Property	3/12/2013	12/21/2015
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	3/12/2013	12/3/2014
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	3/12/2013	12/3/2014
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	3/12/2013	12/3/2014
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	3/12/2013	12/3/2014
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	3/12/2013	1/31/2017
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	3/12/2013	1/31/2017
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	3/12/2013	12/3/2014
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	3/12/2013	12/3/2014
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Casualty	1/18/2013	10/5/2016
Inactive	Unitrin Direct Property & Casualty Company	637443	Agent - Property	1/18/2013	10/5/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Seabury & Smith Inc	394854	Agent - Property	3/12/2013	8/18/2016
Inactive	Seabury & Smith Inc	394854	Agent - Casualty	3/12/2013	8/18/2016