DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Shannon Waltman Insurance, Inc.	DOIID	570759	NAIC NPN	7710292

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	6/3/2003		3/31/2027
Active	Resident	Agent	Property	6/3/2003		3/31/2027
Active	Resident	Agent	Health	6/3/2003		3/31/2027
Active	Resident	Agent	Life	6/3/2003		3/31/2027
* 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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/5/2005
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/5/2005	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/7/2003	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/7/2003	4/15/2025
Active	FB Insurance Company (The)	301763	Agent - Casualty	6/3/2003
Active	FB Insurance Company (The)	301763	Agent - Property	6/3/2003
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	6/3/2003
Active	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	6/3/2003
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	6/3/2003
Active	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	6/3/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Waltmon, Shannon Don	388063	Agent - Casualty	6/3/2003
Active	Waltmon, Shannon Don	388063	Agent - Health	6/3/2003
Active	Waltmon, Shannon Don	388063	Agent - Life	6/3/2003
Active	Waltmon, Shannon Don	388063	Agent - Property	6/3/2003