black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SHIELD NATIONAL LLC

NON-RESIDENT PRODUCER AGENCY

License Number:
AGN261568
Status:
First Licensure:
12/11/2015
Cancel Date:
None
Renewal Date:
04/01/2027

Street Location:
420 W 1500 S STE 102
BOUNTIFUL, UT 84010-7462
Mailing:
420 W 1500 S STE 102
BOUNTIFUL, UT 84010-7462
Phone:
+1 (801) 980-9216 x1001
Fax:
+1 (801) 980-9217
Email:
doug@shieldnational.com

History

License Type Start Date End Date
NON-RESIDENT PRODUCER AGENCY 12/11/2015 04/01/2027

Employer

Name Issue Date License Number Expiration Date Cancel Date
GENERAL INSURANCE COMPANY OF AMERICA
12/09/2022 PCF447
OHIO CASUALTY INSURANCE COMPANY
04/26/2021 PCF73059
UNION INSURANCE COMPANY
06/08/2023 PCF141739 07/09/2024
UNION INSURANCE COMPANY
11/06/2024 PCF141739

Affiliated Agent

Name Issue Date License Number Expiration Date Cancel Date
DOUGLAS DWAYNE MCOMIE
12/11/2015 PRN260910

Branch Office

None.

Supervised Entity

None.

Responsible Individual

Name License Number
DOUGLAS DWAYNE MCOMIE PRN260910

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17425570

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/22/2025 06:44:36 AM