DEPARTMENT OF INSURANCE
Affiliations
NameWaltmon, Shannon DonDOIID388063NAIC NPN7208105
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentVariable Life and Variable Annuities1/9/2001 7/31/2025
ActiveResidentAgentLife1/27/1997 7/31/2025
ActiveResidentAgentHealth1/27/1997 7/31/2025
ActiveResidentAgentProperty8/15/2000 7/31/2025
ActiveResidentAgentCasualty8/15/2000 7/31/2025
InactiveResidentAgentGeneral Lines1/27/19978/15/2000 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Family Home Insurance Company301817Agent - General Lines4/29/19973/31/1998
ActiveAmerican Modern Home Insurance Company300791Agent - Casualty2/1/2023 
InactiveAmerican Modern Home Insurance Company300791Agent - General Lines4/29/199712/29/1999
ActiveAmerican Modern Home Insurance Company300791Agent - Property2/1/2023 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty9/24/2018 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property9/24/2018 
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty3/3/200611/14/2021
InactiveAmerican Modern Select Insurance Company581481Agent - Property3/3/200611/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty9/21/201711/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Property9/21/201711/14/2021
ActiveAnthem Life Insurance Company301209Agent - Health4/13/2023 
ActiveAnthem Life Insurance Company301209Agent - Life4/13/2023 
InactiveBankers Fidelity Life Insurance Company300193Agent - Health6/24/20183/2/2020
InactiveBankers Fidelity Life Insurance Company300193Agent - Life6/24/20183/2/2020
InactiveBerkshire Life Insurance Company of America300983Agent - Health12/5/20033/7/2005
InactiveBerkshire Life Insurance Company of America300983Agent - Life12/5/20033/7/2005
ActiveBristol West Insurance Company301655Agent - Casualty4/18/2022 
ActiveBristol West Insurance Company301655Agent - Property4/18/2022 
ActiveDairyland Insurance Company301370Agent - Casualty1/9/2012 
ActiveDairyland Insurance Company301370Agent - Property1/9/2012 
ActiveFB Insurance Company (The)301763Agent - Casualty8/15/2000 
InactiveFB Insurance Company (The)301763Agent - General Lines1/27/19978/15/2000
ActiveFB Insurance Company (The)301763Agent - Property8/15/2000 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty4/18/2022 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property4/18/2022 
InactiveGuardian Life Insurance Company of America301316Agent - Health12/5/20033/7/2005
InactiveGuardian Life Insurance Company of America301316Agent - Life12/5/20033/7/2005
InactiveIllinois Mutual Life Insurance Company301479Agent - Health5/13/201512/8/2017
InactiveIllinois Mutual Life Insurance Company301479Agent - Life5/13/201512/8/2017
InactiveJohn Hancock Life Insurance Company300821Agent - Health1/13/200612/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life1/13/200612/30/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/19/20084/2/2013
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life9/19/20084/2/2013
ActiveKentucky Farm Bureau Mutual Insurance Company300570Agent - Casualty8/15/2000 
InactiveKentucky Farm Bureau Mutual Insurance Company300570Agent - General Lines1/27/19978/15/2000
ActiveKentucky Farm Bureau Mutual Insurance Company300570Agent - Property8/15/2000 
InactiveMutual of Omaha Insurance Company301012Agent - Health10/6/20179/24/2018
ActiveSouthern Farm Bureau Life Insurance Company300909Agent - Health1/27/1997 
ActiveSouthern Farm Bureau Life Insurance Company300909Agent - Life1/27/1997 
InactiveSouthern Farm Bureau Life Insurance Company300909Agent - Variable Life and Variable Annuities2/2/20093/23/2009
InactiveVictoria Fire & Casualty Company300313Agent - Casualty5/5/20116/26/2017
InactiveVictoria Fire & Casualty Company300313Agent - Property5/5/20116/26/2017
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDental Choice Agency Inc.398085Agent - Health4/29/200511/8/2013
ActiveDesignated Agent Company Inc.681257Agent - Life12/12/2013 
ActiveDesignated Agent Company Inc.681257Agent - Health12/12/2013 
InactiveKentucky Farm Bureau Insurance Agency LLC399619Agent - General Lines2/6/19978/15/2000
ActiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Life2/6/1997 
ActiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Health2/6/1997 
ActiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Property8/15/2000 
ActiveKentucky Farm Bureau Insurance Agency LLC399619Agent - Casualty8/15/2000 
ActiveShannon Waltman Insurance, Inc.570759Agent - Life6/3/2003 
ActiveShannon Waltman Insurance, Inc.570759Agent - Health6/3/2003 
ActiveShannon Waltman Insurance, Inc.570759Agent - Property6/3/2003 
ActiveShannon Waltman Insurance, Inc.570759Agent - Casualty6/3/2003 
InactiveSouthern Capital Brokerage Co LLC577403Agent - Life9/7/20043/31/2007
InactiveSouthern Capital Brokerage Co LLC577403Agent - Health9/7/20043/31/2007

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