DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tanner, William B	DOIID	806149	NAIC NPN	16716827

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	3/20/2013		12/31/2025
Active	Non Resident	Agent	Life	11/8/2013		12/31/2025
Active	Non Resident	Agent	Casualty	3/20/2013		12/31/2025
Active	Non Resident	Agent	Health	11/8/2013		12/31/2025
Withdrawn	Non Resident	Surplus Lines Broker	Not Applicable
* 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	Dairyland Insurance Company	301370	Agent - Casualty	6/9/2016	12/11/2017
Inactive	Dairyland Insurance Company	301370	Agent - Property	6/9/2016	12/11/2017
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	9/11/2015
Active	Grange Indemnity Insurance Company	300793	Agent - Property	9/11/2015
Active	Grange Insurance Company	300234	Agent - Casualty	9/11/2015
Active	Grange Insurance Company	300234	Agent - Property	9/11/2015
Inactive	Grange Life Insurance Company	300128	Agent - Health	9/11/2015	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	9/11/2015	3/31/2021
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	9/11/2015
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	9/11/2015
Active	Southern Mutual Church Insurance Company	676676	Agent - Casualty	9/21/2021
Active	Southern Mutual Church Insurance Company	676676	Agent - Property	9/21/2021
Active	Trustgard Insurance Company	300104	Agent - Casualty	9/11/2015
Active	Trustgard Insurance Company	300104	Agent - Property	9/11/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Westan Ins Group	597704	Agent - Casualty	9/11/2015
Active	Westan Ins Group	597704	Agent - Property	9/11/2015
Inactive	Westan Ins Group	597704	Agent - Life	9/11/2015	3/31/2021
Inactive	Westan Ins Group	597704	Agent - Health	9/11/2015	3/31/2021