Individual Information

YOLANDA ELIZABETH SHI

STONE RIDGE, VA 20105-5909

Active

licensing@insurtechgroups.com

09/19/2022

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3834301	09/19/2022	Active	09/19/2022	09/30/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	09/19/2022	Active	09/19/2022
Health	09/19/2022	Active	09/19/2022
Life	09/19/2022	Active	09/19/2022
Property	09/19/2022	Active	09/19/2022

Company Name	Appointment Type	Status	Active Date
1645
ALLIED PROPERTY AND CASUALTY INSURANCE COMPANY	Casualty	Active	03/08/2023
	Property	Active	03/08/2023
1646
Company Name	Appointment Type	Status	Active Date
AMCO INSURANCE COMPANY	Casualty	Active	03/08/2023
	Property	Active	03/08/2023
1234
Company Name	Appointment Type	Status	Active Date
AMICA LIFE INSURANCE COMPANY	Life	Active	10/18/2023
1647
Company Name	Appointment Type	Status	Active Date
DEPOSITORS INSURANCE COMPANY	Casualty	Active	03/08/2023
	Property	Active	03/08/2023
919
Company Name	Appointment Type	Status	Active Date
NATIONAL SPECIALTY INSURANCE COMPANY	Casualty	Active	07/25/2023
	Property	Active	07/25/2023
1236
Company Name	Appointment Type	Status	Active Date
NATIONWIDE AGRIBUSINESS INSURANCE COMPANY	Casualty	Active	03/08/2023
	Property	Active	03/08/2023
461
Company Name	Appointment Type	Status	Active Date
NATIONWIDE MUTUAL INSURANCE COMPANY	Casualty	Active	03/08/2023
	Property	Active	03/08/2023
1518
Company Name	Appointment Type	Status	Active Date
STATE NATIONAL INSURANCE COMPANY INC	Casualty	Active	07/25/2023
	Property	Active	07/25/2023

row(s) 1 - 15 of 15

Organization	Association Type	Type	Beg dte	End dte
INSURTECH GROUPS LLC	Designated Resp Lic Prdcr	Agency	09/21/2022	-
J & J INSURANCE LLC	Designated Resp Lic Prdcr	Agency	09/21/2022	-

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