DEPARTMENT OF INSURANCE
Affiliations
NameForech, Shantasia OlympiaDOIID781298NAIC NPN3746751
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentCasualty5/28/20211/31/2024 
InactiveNon ResidentAgentProperty5/28/20211/31/2024 
ActiveNon ResidentIndependent AdjusterProperty & Casualty6/15/2023 1/31/2026
InactiveNon ResidentStaff AdjusterProperty & Casualty5/8/20121/31/2014 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Independent Adjuster11/15/202501/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveNational General Insurance Company300152Agent - Casualty6/1/20218/30/2021
InactiveNational General Insurance Company300152Agent - Property6/1/20218/30/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAFICS, Inc1122840Independent Adjuster - Property & Casualty6/23/202312/6/2023

© Commonwealth of Kentucky. All rights reserved.