DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/29/2020	3/26/2025
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	5/29/2020	3/26/2025
Active	BCS Insurance Company	300294	Agent - Health	4/28/2025
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
Inactive	Gallagher Affinity Insurance Services, Inc.	397758	Agent - Life	11/6/2023	3/26/2025
Active	Gallagher Affinity Insurance Services, Inc.	397758	Agent - Health	11/6/2023