DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shannon Waltman Insurance, Inc.	DOIID	570759	NAIC NPN	7710292

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	6/3/2003		3/31/2025
Active	Resident	Agent	Health	6/3/2003		3/31/2025
Active	Resident	Agent	Property	6/3/2003		3/31/2025
Active	Resident	Agent	Life	6/3/2003		3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/5/2005
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/5/2005	10/16/2012
Active	Anthem Life Insurance Company	301209	Agent - Health	7/7/2003
Active	Anthem Life Insurance Company	301209	Agent - Life	7/7/2003
Active	FB Insurance Company (The)	301763	Agent - Casualty	6/3/2003
Active	FB Insurance Company (The)	301763	Agent - Property	6/3/2003
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	6/3/2003
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	6/3/2003
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	6/3/2003
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	6/3/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Waltmon, Shannon Don	388063	Agent - Casualty	6/3/2003
Active	Waltmon, Shannon Don	388063	Agent - Health	6/3/2003
Active	Waltmon, Shannon Don	388063	Agent - Life	6/3/2003
Active	Waltmon, Shannon Don	388063	Agent - Property	6/3/2003