DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shelley, Itaya Monique	DOIID	967211	NAIC NPN	17869819

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	3/29/2021	1/13/2023
Inactive	Non Resident	Agent	Property	3/29/2021	1/13/2023
Inactive	Non Resident	Independent Adjuster	Property & Casualty	9/11/2017	1/13/2023
Active	Non Resident	Staff Adjuster	Property & Casualty	1/17/2023		4/30/2027
* 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
Staff Adjuster	02/15/2025	04/30/2025	01/31/2025	01/31/2025	Yes

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Asurion Insurance Services Inc	509331	Independent Adjuster - Property & Casualty	9/18/2017	1/13/2023
Denied	Asurion Insurance Services Inc	509331	Agent - Casualty
Denied	Asurion Insurance Services Inc	509331	Agent - Property
Inactive	Asurion Protection Services, LLC.	545067	Independent Adjuster - Property & Casualty	10/16/2017	1/13/2023