DEPARTMENT OF INSURANCE

Affiliations

Name	Chism, Shelby E	DOIID	900644	NAIC NPN	17788252

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	12/1/2015	4/26/2019
Inactive	Non Resident	Agent	Casualty	12/1/2015	4/26/2019
* 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	AIG Property Casualty Company	300621	Agent - Casualty	9/20/2016	4/26/2019
Inactive	AIG Property Casualty Company	300621	Agent - Property	9/20/2016	4/26/2019
Inactive	All America Insurance Company	300078	Agent - Casualty	4/17/2019	4/26/2019
Inactive	All America Insurance Company	300078	Agent - Property	4/17/2019	4/26/2019
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	12/30/2015	10/13/2017
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	12/30/2015	10/13/2017
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	12/23/2015	9/5/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	12/23/2015	9/5/2017
Inactive	Central Mutual Insurance Company	300965	Agent - Casualty	4/17/2019	4/26/2019
Inactive	Central Mutual Insurance Company	300965	Agent - Property	4/17/2019	4/26/2019
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	2/3/2016	7/24/2017
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	2/3/2016	7/24/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/23/2015	9/5/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/23/2015	9/5/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	12/23/2015	9/5/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	12/23/2015	9/5/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	12/23/2015	9/5/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	12/23/2015	9/5/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	12/30/2015	10/13/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	12/30/2015	10/13/2017
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	12/30/2015	10/13/2017
Inactive	The Phoenix Insurance Company	301502	Agent - Property	12/30/2015	10/13/2017
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	12/30/2015	10/13/2017
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	12/30/2015	10/13/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Shepherd Insurance, LLC	774397	Agent - Property	7/31/2017	4/26/2019
Inactive	Shepherd Insurance, LLC	774397	Agent - Casualty	7/31/2017	4/26/2019