DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shamel, Gene Travis	DOIID	871164	NAIC NPN	2461879

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/5/2015	2/28/2018
Inactive	Non Resident	Agent	Property	3/5/2015	2/28/2018
Inactive	Non Resident	Agent	Life	3/5/2015	2/28/2018
Inactive	Non Resident	Agent	Casualty	3/5/2015	2/28/2018
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	3/5/2015	2/28/2018
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Public Entities Of America LLC	703019	Agent - Life	3/18/2015	9/8/2017
Inactive	Public Entities Of America LLC	703019	Agent - Health	3/18/2015	9/8/2017
Denied	Public Entities Of America LLC	703019	Surplus Lines Broker - Not Applicable