DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Walterick, James	DOIID	1064253	NAIC NPN	14419790

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/5/2019		3/31/2026
Active	Non Resident	Agent	Life	11/5/2019		3/31/2026
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/29/2020
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/29/2020
Active	Benchmark Insurance Company	300374	Agent - Health	6/8/2023
Active	Tier One Insurance Company	301056	Agent - Health	6/24/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Gallagher Affinity Insurance Services, Inc.	397758	Agent - Life	11/6/2023
Active	Gallagher Affinity Insurance Services, Inc.	397758	Agent - Health	11/6/2023