DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Walton, Tammy L	DOIID	656036	NAIC NPN	5542881

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	5/23/2007		6/30/2027
Active	Non Resident	Agent	Casualty	5/23/2007		6/30/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	5/23/2007		6/30/2027
* 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	04/15/2025	06/30/2025	04/09/2025	04/09/2025	Yes
Surplus Lines Broker	04/15/2025	06/30/2025	04/09/2025	04/09/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Casualty	10/16/2024
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Property	10/16/2024
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Casualty	10/16/2024
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Property	10/16/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	CRC Ins Services, LLC	502276	Agent - Casualty
Denied	CRC Ins Services, LLC	502276	Agent - Property
Active	CRC Ins Services, LLC	502276	Surplus Lines Broker - Not Applicable	12/6/2022