DEPARTMENT OF INSURANCE

Name	Provost, Shannon Noele	DOIID	543212	NAIC NPN	7223791

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Property
Denied	Resident	Agent	Casualty
Inactive	Resident	Agent	Health	7/16/2020	10/31/2021
Inactive	Resident	Agent	Life	7/17/2020	10/31/2021
Inactive	Resident	Agent	Variable Life and Variable Annuities	10/8/2004	11/1/2013
Active	Resident	Independent Adjuster	Property & Casualty	10/19/2022		10/31/2025
Denied	Resident	Temporary Agent	Property
Denied	Resident	Temporary Agent	Casualty

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Independent Adjuster	08/15/2025	10/31/2025

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	246 Shelley Ct Mount Washington, KY 40047
Residence	Not Public Information

Internet Information

Type	Address
Business Email	shannon.thore@us.crawco.com

Phone Information

Type	Phone
Business / Home Office	(502) 887-0725