DEPARTMENT OF INSURANCE
Affiliations
NameWaldrum, Ebony MoniqueDOIID769493NAIC NPN16444200
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty11/22/2011 9/30/2024
ActiveNon ResidentAgentCasualty11/22/2011 9/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202409/30/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllstate Indemnity Company300778Agent - Casualty11/30/20117/2/2014
InactiveAllstate Indemnity Company300778Agent - Property11/30/20117/2/2014
InactiveAllstate Insurance Company300773Agent - Casualty11/30/20117/2/2014
InactiveAllstate Insurance Company300773Agent - Property11/30/20117/2/2014
InactiveAllstate Property and Casualty Insurance Company300593Agent - Casualty11/30/20117/2/2014
InactiveAllstate Property and Casualty Insurance Company300593Agent - Property11/30/20117/2/2014
InactiveEsurance Insurance Company301072Agent - Casualty3/5/20143/31/2014
InactiveEsurance Insurance Company301072Agent - Property3/5/20143/31/2014
ActiveFarmers Direct Property and Casualty Insurance Company300957Agent - Casualty7/31/2014 
ActiveFarmers Direct Property and Casualty Insurance Company300957Agent - Property7/31/2014 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Casualty7/21/2014 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Property7/21/2014 
InactiveSAFECO Insurance Company of America300159Agent - Casualty3/14/20143/18/2024
InactiveSAFECO Insurance Company of America300159Agent - Property3/14/20143/18/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty3/14/20143/18/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Property3/14/20143/18/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveFx Insurance Agency, LLC646184Agent - Property4/22/2022 
ActiveFx Insurance Agency, LLC646184Agent - Casualty4/22/2022 
InactiveTZ Insurance Solutions LLC727470Agent - Property3/7/20143/31/2014
InactiveTZ Insurance Solutions LLC727470Agent - Casualty3/7/20143/31/2014

© Commonwealth of Kentucky. All rights reserved.