DEPARTMENT OF INSURANCE

Affiliations

Name	Walz, Shannon Desmond	DOIID	302677	NAIC NPN	7156851

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	8/15/2000		11/30/2024
Active	Resident	Agent	Health	5/23/2005		11/30/2024
Active	Resident	Agent	Property	8/15/2000		11/30/2024
Active	Resident	Agent	Life	5/23/2005		11/30/2024
Inactive	Resident	Agent	General Lines	8/19/1996	8/15/2000
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	5/28/2021	7/14/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/28/2021	7/14/2022
Inactive	All Savers Insurance Company	301940	Agent - Health	10/27/2021	1/30/2023
Inactive	All Savers Insurance Company	301940	Agent - Life	10/27/2021	1/30/2023
Active	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/9/2019
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	7/14/2015	11/14/2021
Inactive	American Family Home Insurance Company	301817	Agent - Property	7/14/2015	11/14/2021
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	2/16/2006	10/15/2021
Inactive	American Fire and Casualty Company	300567	Agent - Property	2/16/2006	10/15/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	7/14/2015	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	7/14/2015	11/14/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	1/29/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	1/29/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	6/15/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	6/15/2015	11/14/2021
Inactive	American Select Insurance Company	301229	Agent - Casualty	5/16/2002	7/28/2009
Inactive	American Select Insurance Company	301229	Agent - Property	5/16/2002	7/28/2009
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	7/14/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	7/14/2015	11/14/2021
Active	Brighthouse Life Insurance Company	301829	Agent - Life	11/14/2014
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	5/21/2007	12/7/2020
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/21/2007	12/7/2020
Active	Catholic Order of Foresters	300399	Agent - Life	8/4/2022
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	6/23/2023
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	6/23/2023
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	6/23/2023
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	6/23/2023
Active	Cincinnati Insurance Company	301298	Agent - Casualty	6/23/2023
Active	Cincinnati Insurance Company	301298	Agent - Property	6/23/2023
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	8/4/2023
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	9/15/2021
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	9/15/2021
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	2/26/2001	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	2/26/2001	10/13/2022
Inactive	EMC National Life Company	300388	Agent - Health	9/2/2010	12/12/2019
Inactive	EMC National Life Company	300388	Agent - Life	9/2/2010	12/12/2019
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	2/13/2015	6/12/2020
Inactive	EMCASCO Insurance Company	842790	Agent - Property	2/13/2015	6/12/2020
Inactive	Electric Insurance Company	301758	Agent - Casualty	5/13/2005	2/10/2010
Inactive	Electric Insurance Company	301758	Agent - Property	5/13/2005	2/10/2010
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	8/31/2001	6/12/2020
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	8/31/2001	6/12/2020
Active	Encompass Indemnity Company	546376	Agent - Casualty	6/12/2009
Active	Encompass Indemnity Company	546376	Agent - Property	6/12/2009
Active	Encompass Insurance Company of America	556578	Agent - Casualty	6/12/2009
Active	Encompass Insurance Company of America	556578	Agent - Property	6/12/2009
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	9/9/2011	5/26/2024
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	9/9/2011	5/26/2024
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	4/13/2009	5/26/2024
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	4/13/2009	5/26/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/26/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - General Lines	4/24/1998	8/15/2000
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/26/2022
Inactive	Foremost Signature Insurance Company	300140	Agent - General Lines	4/24/1998	8/15/2000
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	12/22/2016
Active	Grange Indemnity Insurance Company	300793	Agent - Property	12/22/2016
Active	Grange Insurance Company	300234	Agent - Casualty	12/22/2016
Active	Grange Insurance Company	300234	Agent - Property	12/22/2016
Inactive	Grange Life Insurance Company	300128	Agent - Health	5/27/2005	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	5/27/2005	12/30/2020
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	11/26/2007
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	11/26/2007
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	8/31/2001	12/20/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	8/31/2001	12/20/2017
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	8/19/2010
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/19/2010
Inactive	Indiana Insurance Company	301909	Agent - Casualty	2/26/2001	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	2/26/2001	2/3/2023
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	5/2/2021	8/21/2023
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	5/2/2021	8/21/2023
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	3/1/2012	11/14/2014
Active	Milbank Insurance Company	925185	Agent - Casualty	3/6/2020
Active	Milbank Insurance Company	925185	Agent - Property	3/6/2020
Active	National Health Insurance Company	300554	Agent - Health	4/19/2023
Active	National Health Insurance Company	300554	Agent - Life	4/19/2023
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	2/26/2001	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	2/26/2001	4/26/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/15/2000
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	8/19/1996	8/15/2000
Active	Ohio Casualty Insurance Company	301492	Agent - Property	8/15/2000
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	5/16/2002	7/28/2009
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	5/16/2002	7/28/2009
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	8/15/2000	10/15/2021
Inactive	Ohio Security Insurance Company	300622	Agent - General Lines	10/4/1999	8/15/2000
Inactive	Ohio Security Insurance Company	300622	Agent - Property	8/15/2000	10/15/2021
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/4/2021	6/15/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/4/2021	6/15/2021
Active	Peerless Insurance Company	301910	Agent - Casualty	2/26/2001
Active	Peerless Insurance Company	301910	Agent - Property	2/26/2001
Inactive	Pruco Life Insurance Company	300954	Agent - Life	6/1/2021	12/21/2022
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	8/30/2018
Active	SAFECO Insurance Company of America	300159	Agent - Property	8/30/2018
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/30/2018
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/30/2018
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	2/3/2022
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	2/3/2022
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/15/2000	3/11/2004
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	3/3/1999	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/15/2000	3/11/2004
Inactive	T.H.E. Insurance Company	301854	Agent - Casualty	8/30/2002	1/19/2012
Inactive	T.H.E. Insurance Company	301854	Agent - Property	8/30/2002	1/19/2012
Active	Trustgard Insurance Company	300104	Agent - Casualty	12/22/2016
Active	Trustgard Insurance Company	300104	Agent - Property	12/22/2016
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	2/13/2015	6/12/2020
Inactive	Union Insurance Company of Providence	842791	Agent - Property	2/13/2015	6/12/2020
Active	United of Omaha Life Insurance Company	300156	Agent - Health	9/22/2021
Active	United of Omaha Life Insurance Company	300156	Agent - Life	9/22/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/27/2021	3/27/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	10/27/2021	3/27/2023
Active	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	4/2/2003
Active	Unitrin Auto and Home Insurance Company	301538	Agent - Property	4/2/2003
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	4/28/2003	12/2/2013
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	4/28/2003	12/2/2013
Active	Unity Financial Life Insurance Company	301054	Agent - Life	1/9/2024
Active	West American Insurance Company	301112	Agent - Casualty	2/16/2006
Active	West American Insurance Company	301112	Agent - Property	2/16/2006
Active	West Bend Insurance Company	672974	Agent - Casualty	10/15/2018
Active	West Bend Insurance Company	672974	Agent - Property	10/15/2018
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/4/2021	6/15/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/4/2021	6/15/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	5/16/2002
Active	Westfield Insurance Company	301950	Agent - Property	5/16/2002
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	5/16/2002	7/28/2009
Inactive	Westfield National Insurance Company	301036	Agent - Property	5/16/2002	7/28/2009
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/4/2021	6/15/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/4/2021	6/15/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/4/2021	6/15/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/4/2021	6/15/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/4/2021	6/15/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/4/2021	6/15/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Desmond Bros Inc.	400940	Agent - Property	1/29/2004
Active	Desmond Bros Inc.	400940	Agent - Casualty	1/29/2004
Active	Desmond Bros Inc.	400940	Agent - Health	12/14/2020
Active	Desmond Bros Inc.	400940	Agent - Life	12/14/2020