DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fairbanks, Shannon Leigh	DOIID	931586	NAIC NPN	17476219

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/3/2016		12/31/2025
Active	Non Resident	Agent	Property	10/3/2016		12/31/2025
* 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	American Modern Select Insurance Company	581481	Agent - Casualty	6/29/2017	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	6/29/2017	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	7/20/2017	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	7/20/2017	11/14/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/3/2017
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/3/2017
Active	Homesite Insurance Company	301139	Agent - Casualty	10/27/2016
Active	Homesite Insurance Company	301139	Agent - Property	10/27/2016
Active	Homesite Insurance Company of the Midwest	874850	Agent - Casualty	7/12/2017
Active	Homesite Insurance Company of the Midwest	874850	Agent - Property	7/12/2017
Active	Nationwide General Insurance Company	300603	Agent - Casualty	12/18/2019
Active	Nationwide General Insurance Company	300603	Agent - Property	12/18/2019
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	11/18/2019	8/25/2023
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	11/18/2019	8/25/2023
Inactive	Progressive Direct Insurance Company	301379	Agent - Casualty	10/6/2016	5/6/2024
Inactive	Progressive Direct Insurance Company	301379	Agent - Property	10/6/2016	5/6/2024
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	11/14/2016	10/7/2022
Inactive	QBE Insurance Corporation	300515	Agent - Property	11/14/2016	10/7/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Progressive Advantage Agency , Inc.	518222	Agent - Property	10/6/2016
Active	Progressive Advantage Agency , Inc.	518222	Agent - Casualty	10/6/2016