DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Walcott, Maxwell James Taylor	DOIID	821843	NAIC NPN	17053765

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/25/2013	7/31/2019
Inactive	Non Resident	Agent	Life	9/25/2013	7/31/2019
Active	Non Resident	Staff Adjuster	Property & Casualty	1/14/2020		7/31/2027
* 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
Staff Adjuster	05/15/2025	07/31/2025	05/13/2025	05/13/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	National Teachers Associates Life Insurance Company	300107	Agent - Health	10/24/2013	6/24/2019
Inactive	National Teachers Associates Life Insurance Company	300107	Agent - Life	10/24/2013	6/24/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Horace Mann General Agency Corporation	898360	Agent - Life	2/26/2016	6/24/2019
Inactive	Horace Mann General Agency Corporation	898360	Agent - Health	2/26/2016	6/24/2019
Inactive	National Teacher Associates of Kentucky Inc.	399320	Agent - Life	11/5/2013	3/31/2016
Inactive	National Teacher Associates of Kentucky Inc.	399320	Agent - Health	11/5/2013	3/31/2016