DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Kissel, Sharla	DOIID	1007590	NAIC NPN	6747757

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/30/2018		6/30/2026
Active	Non Resident	Agent	Casualty	8/30/2018		6/30/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/4/2019		6/30/2026
* 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	04/15/2026	06/30/2026
Surplus Lines Broker	04/15/2026	06/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Zurich American Insurance Company	301121	Agent - Casualty	9/7/2018
Active	Zurich American Insurance Company	301121	Agent - Property	9/7/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Arizona Inc	511502	Agent - Property	9/13/2018	3/6/2020
Inactive	Willis Of Arizona Inc	511502	Agent - Casualty	9/13/2018	3/6/2020
Inactive	Willis Of Arizona Inc	511502	Surplus Lines Broker - Not Applicable	1/16/2019	7/8/2020
Active	Willis Towers Watson Insurance Services West Inc	538729	Agent - Property	2/1/2020
Active	Willis Towers Watson Insurance Services West Inc	538729	Agent - Casualty	2/1/2020
Active	Willis Towers Watson Insurance Services West Inc	538729	Surplus Lines Broker - Not Applicable	2/1/2020