DEPARTMENT OF INSURANCE

Affiliations

Name	Waltz, Shannon Michelle	DOIID	773548	NAIC NPN	16520695

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Apprentice Adjuster	Not Applicable	1/27/2012	2/21/2012
Active	Resident	Staff Adjuster	Property & Casualty	2/21/2012		12/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Staff Adjuster - Property & Casualty	11/19/2020