DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Walters, William Dakota	DOIID	1119542	NAIC NPN	19790868

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	5/25/2021		9/30/2026
Active	Resident	Agent	Casualty	6/3/2021		9/30/2026
Active	Resident	Agent	Property	6/1/2021		9/30/2026
Active	Resident	Agent	Health	5/25/2021		9/30/2026
* 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	07/15/2024	09/30/2024	04/29/2024	04/29/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Modern Home Insurance Company	300791	Agent - Casualty	1/26/2023
Active	American Modern Home Insurance Company	300791	Agent - Property	1/26/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	6/14/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	6/14/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/12/2021
Active	Bristol West Insurance Company	301655	Agent - Casualty	6/14/2021
Active	Bristol West Insurance Company	301655	Agent - Property	6/14/2021
Active	Dairyland Insurance Company	301370	Agent - Casualty	6/29/2021
Active	Dairyland Insurance Company	301370	Agent - Property	6/29/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/14/2021	12/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/14/2021	12/20/2023
Active	Gerber Life Insurance Company	300529	Agent - Health	10/12/2022
Active	Gerber Life Insurance Company	300529	Agent - Life	10/12/2022
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	6/10/2021
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	6/10/2021
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	6/10/2021
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	6/10/2021
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	6/10/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	6/10/2021
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	6/10/2021
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	6/10/2021
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	6/10/2021