DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hmielewski, James Walter	DOIID	330585	NAIC NPN	5941555

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/23/2016	4/30/2021
Inactive	Non Resident	Agent	Health	6/23/2016	4/30/2021
* 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
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	6/29/2016	7/24/2020
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	6/29/2016	7/24/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/27/2010	4/30/2011
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/27/2010	4/30/2011
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Health	6/9/2004	7/26/2010
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Life	6/9/2004	7/26/2010
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	5/9/1994	2/6/1997
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	5/9/1994	2/6/1997
Inactive	United American Insurance Company	300910	Agent - Health	4/17/2009	6/22/2010
Inactive	United American Insurance Company	300910	Agent - Life	4/17/2009	6/22/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	4/23/2010	7/26/2010
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	4/23/2010	7/26/2010
Inactive	Ushealth Advisors Llc	713288	Agent - Life	3/30/2019	7/24/2020
Inactive	Ushealth Advisors Llc	713288	Agent - Health	3/30/2019	7/24/2020