DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Walters, Jeromy Shadd	DOIID	1343918	NAIC NPN	21211556

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	6/12/2024		6/30/2027
Active	Resident	Agent	Health	7/22/2024		6/30/2027
Active	Resident	Agent	Casualty	7/19/2024		6/30/2027
Active	Resident	Agent	Property	7/19/2024		6/30/2027
* 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	04/15/2025	06/30/2025	05/15/2025	05/15/2025	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	9/19/2024
Active	American Modern Home Insurance Company	300791	Agent - Property	9/19/2024
Active	Bristol West Insurance Company	301655	Agent - Casualty	9/19/2024
Active	Bristol West Insurance Company	301655	Agent - Property	9/19/2024
Active	Dairyland Insurance Company	301370	Agent - Casualty	12/5/2024
Active	Dairyland Insurance Company	301370	Agent - Property	12/5/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/19/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/19/2024
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/1/2024
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	8/1/2024
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/1/2024
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	8/1/2024
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	8/1/2024

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	8/1/2024
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	8/1/2024
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/1/2024
Active	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/1/2024