DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Shelly	DOIID	835839	NAIC NPN	1833857

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	3/12/2014		4/30/2027
Active	Non Resident	Agent	Casualty	3/12/2014		4/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arch Insurance Company	300688	Agent - Casualty	11/20/2017
Active	Arch Insurance Company	300688	Agent - Property	11/20/2017
Active	Capitol Indemnity Corporation	301030	Agent - Casualty	4/28/2017
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	4/1/2014
Active	Fireman's Fund Insurance Company	301423	Agent - Property	4/1/2014
Active	Platte River Insurance Company	301089	Agent - Casualty	4/28/2017
Active	United States Fire Insurance Company	582240	Agent - Casualty	6/27/2023
Active	United States Fire Insurance Company	582240	Agent - Property	6/27/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	4/1/2014
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	4/1/2014