DEPARTMENT OF INSURANCE

Name	Shah, Jason P	DOIID	1273325	NAIC NPN	9506685

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	5/8/2023	10/31/2027
Active	Non Resident	Agent	Life	11/15/2024	10/31/2027
Active	Non Resident	Agent	Casualty	5/8/2023	10/31/2027
Active	Non Resident	Agent	Health	11/15/2024	10/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/19/2024	10/31/2027

*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	08/15/2025	10/31/2025	08/05/2025	08/05/2025	Yes
Surplus Lines Broker	08/15/2025	10/31/2025	08/05/2025	08/05/2025	Yes

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	410 N Michigan Ave Ste 1200 Chicago, IL 606114292
Residence	Not Public Information

Internet Information

Type	Address
Business Email	jason.shah@aleragroup.com

Phone Information

Type	Phone
Business / Home Office	(312) 888-9248 Ext-5275