DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Walleck, Jacob Alan	DOIID	1273426	NAIC NPN	20692735

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/9/2023		4/30/2026
Active	Non Resident	Agent	Property	5/9/2023		4/30/2026
* 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	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Independence American Insurance Company	524747	Agent - Casualty	9/11/2023
Active	Independence American Insurance Company	524747	Agent - Property	9/11/2023
Active	North River Insurance Company (The)	301739	Agent - Casualty	6/26/2023
Active	North River Insurance Company (The)	301739	Agent - Property	6/26/2023
Active	United States Fire Insurance Company	582240	Agent - Casualty	7/14/2023
Active	United States Fire Insurance Company	582240	Agent - Property	7/14/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	PTZ Insurance Agency LTD	695420	Agent - Casualty	8/3/2023
Active	PTZ Insurance Agency LTD	695420	Agent - Property	8/3/2023