DEPARTMENT OF INSURANCE

Name	Buicko, Shawn E	DOIID	774430	NAIC NPN	2338620

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	2/10/2012		8/31/2025
Active	Non Resident	Agent	Casualty	2/10/2012		8/31/2025
Active	Non Resident	Agent	Health	10/21/2022		8/31/2025
Active	Non Resident	Agent	Life	10/21/2022		8/31/2025
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	2/10/2012	4/19/2012

*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	06/15/2025	08/31/2025

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	6620 Mooney St Ste 360 Dublin, OH 430173262
Residence	Not Public Information

Internet Information

Type	Address
Business Email	sbuicko@assurexglobal.com

Phone Information

Type	Phone
Business / Home Office	(614) 793-0841