DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Carlson, Shannon Lyn	DOIID	984274	NAIC NPN	18428384

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	2/12/2018	3/31/2023
Inactive	Non Resident	Agent	Casualty	2/12/2018	3/31/2023
* 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	Midvale Indemnity Company	300292	Agent - Casualty	2/26/2018	5/20/2022
Inactive	Midvale Indemnity Company	300292	Agent - Property	2/26/2018	5/20/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Geico Insurance Agency, LLC	558517	Agent - Property	2/26/2018	5/20/2022
Inactive	Geico Insurance Agency, LLC	558517	Agent - Casualty	2/26/2018	5/20/2022