DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Shirley Ann	DOIID	335713	NAIC NPN	1892232

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	4/19/1996		2/28/2025
Active	Resident	Agent	Life	4/19/1996		2/28/2025
Inactive	Resident	Temporary Agent	Ordinary Life (Temporary Life)	3/15/1996	4/19/1996
Inactive	Resident	Temporary Agent	Debit (Temporary Health)	3/15/1996	4/19/1996
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Memorial Life Insurance Company	301445	Agent - Life	12/21/2010	5/9/2013
Inactive	Assurity Life Insurance Company	301099	Agent - Health	2/6/2019	11/4/2020
Inactive	Assurity Life Insurance Company	301099	Agent - Life	2/6/2019	11/4/2020
Inactive	Continental General Insurance Company	300691	Agent - Health	6/7/1996	12/13/2001
Inactive	Continental General Insurance Company	300691	Agent - Life	6/7/1996	12/13/2001
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	10/26/2010	7/27/2016
Inactive	Genworth Life Insurance Company	300623	Agent - Health	10/19/2005	3/12/2007
Inactive	Genworth Life Insurance Company	300623	Agent - Life	10/19/2005	3/12/2007
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	6/26/2003	12/14/2004
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	6/26/2003	12/14/2004
Inactive	John Alden Life Insurance Company	300573	Agent - Health	3/16/2001	5/18/2009
Inactive	John Alden Life Insurance Company	300573	Agent - Life	3/16/2001	5/18/2009
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/21/2017	9/24/2018
Inactive	Omaha Insurance Company	751908	Agent - Health	1/28/2013	12/23/2013
Active	Principal National Life Insurance Company	301926	Agent - Life	11/6/2016
Inactive	United American Insurance Company	300910	Agent - Health	12/9/2021	12/30/2022
Inactive	United American Insurance Company	300910	Agent - Life	12/9/2021	12/30/2022
Inactive	United World Life Insurance Company	300532	Agent - Health	3/24/2020	2/22/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/24/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/24/2011	12/26/2012
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	4/19/1996	10/10/2008
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	4/19/1996	10/10/2008
Inactive	Western and Southern Life Insurance Company	301744	Temporary Agent - Debit (Temporary Health)	3/15/1996	4/19/1996
Inactive	Western and Southern Life Insurance Company	301744	Temporary Agent - Ordinary Life (Temporary Life)	3/15/1996	4/19/1996
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	5/6/1997	10/10/2008
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	5/6/1997	10/10/2008
Active	Woodmen of the World Life Insurance Society	301446	Agent - Health	10/1/2008
Active	Woodmen of the World Life Insurance Society	301446	Agent - Life	10/1/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Woodmen Insurance Agency, Inc.	579244	Agent - Life	1/20/2009
Active	Woodmen Insurance Agency, Inc.	579244	Agent - Health	1/20/2009