DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sheridan, Pamala Marie	DOIID	875972	NAIC NPN	2624607

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	4/23/2015		11/30/2024
Active	Non Resident	Agent	Life	3/15/2022		11/30/2024
Active	Non Resident	Agent	Property	4/23/2015		11/30/2024
Active	Non Resident	Agent	Health	3/15/2022		11/30/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/15/2022		11/30/2024
* 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	09/15/2024	11/30/2024
Surplus Lines Broker	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hartford Fire Insurance Company	300628	Agent - Casualty	10/22/2017
Active	Hartford Fire Insurance Company	300628	Agent - Property	10/22/2017
Active	Safety National Casualty Corporation	300390	Agent - Casualty	3/1/2023
Active	Safety National Casualty Corporation	300390	Agent - Property	3/1/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Pacific Merrill Assurance Brokers LLC	937257	Agent - Property	7/22/2022
Active	Pacific Merrill Assurance Brokers LLC	937257	Agent - Casualty	7/22/2022
Active	Venbrook Insurance Services	664193	Agent - Property	7/21/2022
Active	Venbrook Insurance Services	664193	Agent - Casualty	7/21/2022
Active	Venbrook Insurance Services	664193	Agent - Life	10/31/2022
Active	Venbrook Insurance Services	664193	Agent - Health	10/31/2022
Active	Venbrook Insurance Services	664193	Surplus Lines Broker - Not Applicable	7/21/2022