DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Watters, Shirley Mae	DOIID	379722	NAIC NPN	1890137

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	7/1/2013	9/1/2019
* 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	Columbian Life Insurance Company	300810	Agent - Life	7/18/1996	6/10/2002
Inactive	Forethought Life Insurance Company	301407	Agent - Life	8/21/2013	5/20/2016
Inactive	Homesteaders Life Company	300836	Agent - Life	7/21/2017	3/12/2018
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	7/10/2017	9/1/2019
Inactive	Kentucky Funeral Directors Life Insurance Company	532905	Agent - Life	1/3/2006	8/31/2007
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	4/21/1998	1/7/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mann and Greenwell Funeral Home, Inc	625145	Agent - Life	2/2/2006	1/22/2007
Inactive	Paintsville Funeral Home, Inc	625592	Agent - Life	2/9/2006	8/31/2007