DEPARTMENT OF INSURANCE

Affiliations

Name	Shipley, Adam	DOIID	942677	NAIC NPN	18288196

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	1/31/2017	7/31/2024
Active	Resident	Agent	Casualty	1/31/2017	7/31/2024
* 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	05/15/2024	07/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	2/6/2017
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	2/6/2017
Active	American Economy Insurance Company	300315	Agent - Casualty	6/3/2024
Active	American Economy Insurance Company	300315	Agent - Property	6/3/2024
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	2/6/2017
Active	Auto-Owners Insurance Company	301480	Agent - Property	2/6/2017
Active	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	8/7/2021
Active	ClearPath Insurance Company	979815	Agent - Casualty	3/7/2024
Inactive	Doctors Company, an Interinsurance Exchange (The)	301946	Agent - Casualty	11/26/2018	7/31/2022
Active	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	5/9/2022
Active	Fidelity and Guaranty Insurance Company	301009	Agent - Property	5/9/2022
Inactive	First Benefits Insurance Mutual, Inc.	1090183	Agent - Casualty	8/3/2021	5/28/2024
Active	General Insurance Company of America	300261	Agent - Casualty	11/7/2022
Active	General Insurance Company of America	300261	Agent - Property	11/7/2022
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	2/13/2017
Active	Grange Indemnity Insurance Company	300793	Agent - Property	2/13/2017
Active	Grange Insurance Company	300234	Agent - Casualty	2/13/2017
Active	Grange Insurance Company	300234	Agent - Property	2/13/2017
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	2/13/2017
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	2/13/2017
Active	Hartford Accident and Indemnity Company	301917	Agent - Casualty	6/6/2021
Active	Hartford Accident and Indemnity Company	301917	Agent - Property	6/6/2021
Active	Hartford Casualty Insurance Company	301332	Agent - Casualty	12/6/2020
Active	Hartford Casualty Insurance Company	301332	Agent - Property	12/6/2020
Active	Hartford Insurance Company of Illinois	1014405	Agent - Casualty	12/22/2020
Active	Hartford Insurance Company of Illinois	1014405	Agent - Property	12/22/2020
Active	Hartford Insurance Company of the Southeast	1014204	Agent - Casualty	9/1/2020
Active	Hartford Insurance Company of the Southeast	1014204	Agent - Property	9/1/2020
Active	Hartford Underwriters Insurance Company	301064	Agent - Casualty	6/1/2020
Active	Hartford Underwriters Insurance Company	301064	Agent - Property	6/1/2020
Active	Milbank Insurance Company	925185	Agent - Casualty	8/19/2020
Active	Milbank Insurance Company	925185	Agent - Property	8/19/2020
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	7/25/2021
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	7/25/2021
Active	NorthStone Insurance Company	818905	Agent - Casualty	8/7/2021
Active	Nutmeg Insurance Company	751698	Agent - Casualty	10/17/2022
Active	Nutmeg Insurance Company	751698	Agent - Property	10/17/2022
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/12/2022
Active	Ohio Casualty Insurance Company	301492	Agent - Property	10/12/2022
Active	Ohio Security Insurance Company	300622	Agent - Casualty	7/13/2021
Active	Ohio Security Insurance Company	300622	Agent - Property	7/13/2021
Active	Owners Insurance Company	300796	Agent - Casualty	2/6/2017
Active	Owners Insurance Company	300796	Agent - Property	2/6/2017
Active	PinnaclePoint Insurance Company	819085	Agent - Casualty	8/7/2021
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	12/21/2020
Active	SAFECO Insurance Company of America	300159	Agent - Property	12/21/2020
Active	Sentinel Insurance Company, Limited	501696	Agent - Casualty	8/5/2021
Active	Sentinel Insurance Company, Limited	501696	Agent - Property	8/5/2021
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	6/19/2019
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	6/19/2019
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	2/9/2017
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	2/9/2017
Active	SummitPoint Insurance Company	819084	Agent - Casualty	8/7/2021
Active	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	9/23/2019
Active	Travelers Casualty Insurance Company of America	300522	Agent - Property	9/23/2019
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	8/26/2020
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	8/26/2020
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	5/15/2020
Active	Travelers Personal Insurance Company	705785	Agent - Property	5/15/2020
Active	Trumbull Insurance Company	300242	Agent - Casualty	8/17/2020
Active	Trumbull Insurance Company	300242	Agent - Property	8/17/2020
Active	Trustgard Insurance Company	300104	Agent - Casualty	2/13/2017
Active	Trustgard Insurance Company	300104	Agent - Property	2/13/2017
Active	Twin City Fire Insurance Company	300721	Agent - Casualty	1/29/2019
Active	Twin City Fire Insurance Company	300721	Agent - Property	1/29/2019
Active	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	10/16/2019
Active	Unitrin Auto and Home Insurance Company	301538	Agent - Property	10/16/2019
Active	Unitrin Safeguard Insurance Company	301371	Agent - Casualty	10/16/2019
Active	Unitrin Safeguard Insurance Company	301371	Agent - Property	10/16/2019
Active	West American Insurance Company	301112	Agent - Casualty	2/2/2023
Active	West American Insurance Company	301112	Agent - Property	2/2/2023
Active	West Bend Insurance Company	672974	Agent - Casualty	12/1/2018
Active	West Bend Insurance Company	672974	Agent - Property	12/1/2018
Active	Westfield Insurance Company	301950	Agent - Casualty	11/22/2023
Active	Westfield Insurance Company	301950	Agent - Property	11/22/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hyland Block & Hyland Inc.	398511	Agent - Casualty	2/6/2017
Active	Hyland Block & Hyland Inc.	398511	Agent - Property	2/6/2017