DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shack, Jordon T	DOIID	931067	NAIC NPN	18103364

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Property	9/27/2016		5/31/2025
Pending Replacement	Non Resident	Agent	Casualty	9/27/2016		5/31/2025
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	5/5/2023	7/2/2025
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	5/5/2023	7/2/2025
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/13/2021	3/6/2025
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/13/2021	3/6/2025
Inactive	Homesite Insurance Company	301139	Agent - Casualty	9/28/2022	3/2/2025
Inactive	Homesite Insurance Company	301139	Agent - Property	9/28/2022	3/2/2025
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	9/28/2022	3/2/2025
Inactive	Homesite Insurance Company of the Midwest	874850	Agent - Property	9/28/2022	3/2/2025
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	4/1/2021	3/4/2025
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	4/1/2021	3/4/2025
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	5/6/2021	11/10/2022
Inactive	QBE Insurance Corporation	300515	Agent - Property	5/6/2021	11/10/2022
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	10/4/2016	5/6/2020
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	10/4/2016	5/6/2020
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	10/4/2016	5/6/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Progressive Advantage Agency , Inc.	518222	Agent - Property	4/7/2021
Pending Replacement	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	4/7/2021