DEPARTMENT OF INSURANCE

Affiliations

Name	Gribbins, Shelly	DOIID	943384	NAIC NPN	18297294

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	12/3/2020	10/31/2025
Active	Resident	Agent	Property	2/6/2017	10/31/2025
Active	Resident	Agent	Casualty	2/6/2017	10/31/2025
* 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	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	2/17/2017	5/31/2023
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	2/17/2017	5/31/2023
Active	Auto-Owners Life Insurance Company	301368	Agent - Life	12/15/2020
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	3/16/2017	11/21/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/16/2017	11/21/2019
Active	Countryway Insurance Company	300809	Agent - Casualty	3/30/2017
Active	Countryway Insurance Company	300809	Agent - Property	3/30/2017
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	10/12/2017	4/6/2021
Inactive	Dairyland Insurance Company	301370	Agent - Property	10/12/2017	4/6/2021
Active	Erie Family Life Insurance Company	301400	Agent - Life	12/4/2020
Active	Erie Insurance Company	300230	Agent - Casualty	5/9/2017
Active	Erie Insurance Company	300230	Agent - Property	5/9/2017
Active	Erie Insurance Exchange	300789	Agent - Casualty	5/9/2017
Active	Erie Insurance Exchange	300789	Agent - Property	5/9/2017
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	4/8/2025
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	4/8/2025
Active	Flagship City Insurance Company	789965	Agent - Casualty	9/9/2022
Active	Flagship City Insurance Company	789965	Agent - Property	9/9/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/16/2017
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/16/2017
Active	Kentucky National Insurance Company	301625	Agent - Casualty	2/13/2017
Active	Kentucky National Insurance Company	301625	Agent - Property	2/13/2017
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/2/2021	6/11/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	3/8/2017
Active	Westfield Insurance Company	301950	Agent - Property	3/8/2017
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/2/2021	6/11/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	SAJ Insurance Group LLC	1320008	Agent - Casualty	2/8/2024
Active	SAJ Insurance Group LLC	1320008	Agent - Property	2/8/2024
Active	SAJ Insurance Group LLC	1320008	Agent - Life	2/8/2024
Inactive	Smith-Altman Insurance Inc.	398218	Agent - Casualty	2/15/2017	3/31/2024
Inactive	Smith-Altman Insurance Inc.	398218	Agent - Property	2/15/2017	3/31/2024