DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shaw, Emily Marie	DOIID	985746	NAIC NPN	18694694

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/26/2018		9/30/2026
Active	Non Resident	Agent	Casualty	2/26/2018		9/30/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	2/12/2019		9/30/2026
* 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	07/15/2024	09/30/2024	09/04/2024	09/04/2024	Yes
Surplus Lines Broker	07/15/2024	09/30/2024	09/04/2024	09/04/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Star Insurance Company	301553	Agent - Casualty	3/27/2018	4/3/2020
Inactive	Star Insurance Company	301553	Agent - Property	3/27/2018	4/3/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	CRC Ins Services, LLC	502276	Agent - Property
Denied	CRC Ins Services, LLC	502276	Agent - Casualty
Active	CRC Ins Services, LLC	502276	Surplus Lines Broker - Not Applicable	12/5/2022
Inactive	Program Ins Management Of Sarasota Inc Dba Chemplan	698457	Agent - Property	3/27/2018	4/3/2020
Inactive	Program Ins Management Of Sarasota Inc Dba Chemplan	698457	Agent - Casualty	3/27/2018	4/3/2020
Inactive	Program Ins Management Of Sarasota Inc Dba Chemplan	698457	Surplus Lines Broker - Not Applicable	2/20/2019	3/31/2021