DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Blackburn, Shanna	DOIID	1215726	NAIC NPN	16551696

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/11/2022		3/31/2026
Active	Non Resident	Agent	Property	7/11/2022		3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	7/14/2022	9/4/2024
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	7/14/2022	9/4/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nutmeg Insurance Agency, Inc.	502156	Agent - Casualty	7/14/2022	9/4/2024
Inactive	Nutmeg Insurance Agency, Inc.	502156	Agent - Property	7/14/2022	9/4/2024