DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Walters, Shevon Racine	DOIID	759990	NAIC NPN	9095812

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	8/16/2011	12/1/2012
Inactive	Resident	Agent	Life	8/16/2011	12/1/2012
Inactive	Resident	Agent	Property	8/16/2011	12/1/2012
Inactive	Resident	Agent	Health	8/16/2011	12/1/2012
* 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	Anthem Life Insurance Company	301209	Agent - Health	10/25/2011	12/1/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/25/2011	12/1/2012
Inactive	EquiTrust Life Insurance Company	502870	Agent - Life	4/5/2012	12/1/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/18/2011	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/18/2011	12/26/2012
Inactive	Independent Order of Foresters	300743	Agent - Health	12/23/2011	12/1/2012
Inactive	Independent Order of Foresters	300743	Agent - Life	12/23/2011	12/1/2012
Inactive	Sagicor Life Insurance Company	300459	Agent - Life	10/6/2011	12/1/2012
Inactive	State Life Insurance Company	301497	Agent - Health	8/23/2011	12/24/2012
Inactive	State Life Insurance Company	301497	Agent - Life	8/23/2011	12/24/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/25/2011	12/1/2012
Inactive	Designated Agent Company Inc.	681257	Agent - Life	10/25/2011	12/1/2012