DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Shirley Ann	DOIID	335713	NAIC NPN	1892232

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	4/19/1996		2/28/2027
Active	Resident	Agent	Health	4/19/1996		2/28/2027
Inactive	Resident	Temporary Agent	Ordinary Life (Temporary Life)	3/15/1996	4/19/1996
Inactive	Resident	Temporary Agent	Debit (Temporary Health)	3/15/1996	4/19/1996
* 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	12/15/2026	02/28/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Memorial Life Insurance Company	301445	Agent - Life	12/21/2010	5/9/2013
Inactive	Assurity Life Insurance Company	301099	Agent - Health	2/6/2019	11/4/2020
Inactive	Assurity Life Insurance Company	301099	Agent - Life	2/6/2019	11/4/2020
Inactive	Continental General Insurance Company	300691	Agent - Health	6/7/1996	12/13/2001
Inactive	Continental General Insurance Company	300691	Agent - Life	6/7/1996	12/13/2001
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	10/26/2010	7/27/2016
Inactive	Genworth Life Insurance Company	300623	Agent - Health	10/19/2005	3/12/2007
Inactive	Genworth Life Insurance Company	300623	Agent - Life	10/19/2005	3/12/2007
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	6/26/2003	12/14/2004
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	6/26/2003	12/14/2004
Inactive	John Alden Life Insurance Company	300573	Agent - Health	3/16/2001	5/18/2009
Inactive	John Alden Life Insurance Company	300573	Agent - Life	3/16/2001	5/18/2009
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	10/21/2017	9/24/2018
Inactive	Omaha Insurance Company	751908	Agent - Health	1/28/2013	12/23/2013
Active	Principal National Life Insurance Company	301926	Agent - Life	11/6/2016
Inactive	United American Insurance Company	300910	Agent - Health	12/9/2021	12/30/2022
Inactive	United American Insurance Company	300910	Agent - Life	12/9/2021	12/30/2022
Inactive	United World Life Insurance Company	300532	Agent - Health	3/24/2020	2/22/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	3/24/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	3/24/2011	12/26/2012
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	4/19/1996	10/10/2008
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	4/19/1996	10/10/2008
Inactive	Western and Southern Life Insurance Company	301744	Temporary Agent - Debit (Temporary Health)	3/15/1996	4/19/1996
Inactive	Western and Southern Life Insurance Company	301744	Temporary Agent - Ordinary Life (Temporary Life)	3/15/1996	4/19/1996
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	5/6/1997	10/10/2008
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	5/6/1997	10/10/2008
Active	Woodmen of the World Life Insurance Society	301446	Agent - Health	10/1/2008
Active	Woodmen of the World Life Insurance Society	301446	Agent - Life	10/1/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Woodmen Insurance Agency, Inc.	579244	Agent - Life	1/20/2009
Active	Woodmen Insurance Agency, Inc.	579244	Agent - Health	1/20/2009