DEPARTMENT OF INSURANCE
Affiliations
NameStarosciak, Walter AllenDOIID367634NAIC NPN1869385
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth9/15/198712/1/2022 
InactiveResidentAgentGeneral Lines8/4/19868/15/2000 
InactiveResidentAgentProperty8/15/200012/1/2022 
InactiveResidentAgentLife9/15/198712/1/2022 
InactiveResidentAgentCasualty8/15/200012/1/2022 
InactiveResidentAgentHealth Maintenance Organization5/30/20003/1/2001 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmTrust Insurance Company300179Agent - General Lines4/13/19892/26/1996
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Casualty8/15/200010/11/2001
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - General Lines4/7/19878/15/2000
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Health8/15/20012/13/2008
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Property8/15/200010/11/2001
InactiveAmerican Fire and Casualty Company300567Agent - Casualty8/15/200012/1/2022
InactiveAmerican Fire and Casualty Company300567Agent - General Lines12/28/19988/15/2000
InactiveAmerican Fire and Casualty Company300567Agent - Property8/15/200012/1/2022
InactiveAmerican General Life Insurance Company301585Agent - Life8/27/200111/8/2007
InactiveAmerican Zurich Insurance Company300592Agent - General Lines3/17/19881/6/1997
InactiveAnthem Life Insurance Company301209Agent - Health8/24/199310/22/1999
InactiveAnthem Life Insurance Company301209Agent - Life8/24/199310/22/1999
InactiveAssurance Company of America300432Agent - General Lines10/20/19893/31/1996
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty3/29/200112/1/2022
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property3/29/200112/1/2022
InactiveBanner Life Insurance Company301696Agent - Life9/24/200912/1/2022
InactiveBuckeye Union Insurance Company (The)300597Agent - General Lines2/5/19973/31/1998
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty3/29/200112/5/2013
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property3/29/200112/5/2013
InactiveChase Insurance Life and Annuity Company300518Agent - Life4/4/20014/1/2007
InactiveCigna National Health Insurance Company300235Agent - Health3/30/19933/31/1997
InactiveCigna National Health Insurance Company300235Agent - Life3/30/19933/31/1997
InactiveCommercial Insurance Company of Newark, New Jersey300328Agent - General Lines2/4/19973/31/1998
InactiveConseco Health Insurance Company301725Agent - Health4/10/20024/11/2003
InactiveConseco Health Insurance Company301725Agent - Life4/10/20024/11/2003
InactiveContinental Casualty Company301019Agent - Casualty11/8/200212/15/2003
InactiveContinental Casualty Company301019Agent - General Lines4/7/19878/15/2000
InactiveContinental Casualty Company301019Agent - Property11/8/200212/15/2003
InactiveContinental Insurance Company (The)301242Agent - Casualty8/15/20009/3/2002
InactiveContinental Insurance Company (The)301242Agent - General Lines1/31/19978/15/2000
InactiveContinental Insurance Company (The)301242Agent - Property8/15/20009/3/2002
InactiveFalls Lake National Insurance Company301796Agent - General Lines4/24/19966/29/2000
InactiveFarmers Property and Casualty Insurance Company301237Agent - Casualty8/15/20007/12/2001
InactiveFarmers Property and Casualty Insurance Company301237Agent - General Lines8/24/19938/15/2000
InactiveFarmers Property and Casualty Insurance Company301237Agent - Property8/15/20007/12/2001
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life4/4/200110/28/2008
InactiveFidelity and Casualty Company of New York (The)300160Agent - Casualty8/15/20009/3/2002
InactiveFidelity and Casualty Company of New York (The)300160Agent - General Lines2/4/19978/15/2000
InactiveFidelity and Casualty Company of New York (The)300160Agent - Property8/15/20009/3/2002
InactiveFidelity and Deposit Company of Maryland300976Agent - Casualty8/15/200012/17/2009
InactiveFidelity and Deposit Company of Maryland300976Agent - General Lines4/17/19908/15/2000
InactiveFidelity and Deposit Company of Maryland300976Agent - Property8/15/200012/17/2009
InactiveFiremen's Insurance Company of Newark, New Jersey300247Agent - General Lines5/2/19973/31/1998
InactiveGenworth Life Insurance Company300623Agent - Health2/26/200112/4/2007
InactiveGenworth Life Insurance Company300623Agent - Life2/26/200112/4/2007
InactiveGlens Falls Insurance Company (The)301922Agent - General Lines2/3/199712/30/1999
InactiveGreat American Insurance Company301586Agent - Casualty8/15/20008/5/2002
InactiveGreat American Insurance Company301586Agent - General Lines6/24/19978/15/2000
InactiveGreat American Insurance Company301586Agent - Property8/15/20008/5/2002
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/20018/15/2003
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization5/30/20003/1/2001
InactiveHumana Insurance Company301104Agent - Health6/15/19938/15/2003
InactiveHumana Insurance Company301104Agent - Life6/15/19938/15/2003
InactiveIllinois Mutual Life Insurance Company301479Agent - Health5/24/19994/13/2001
InactiveIllinois Mutual Life Insurance Company301479Agent - Life5/24/19994/13/2001
InactiveInfinity Casualty Insurance Company301280Agent - General Lines8/3/19906/29/2000
InactiveKansas City Fire and Marine Insurance Company301936Agent - General Lines5/2/199712/30/1999
InactiveKentucky National Insurance Company301625Agent - General Lines2/1/19943/31/1996
InactiveMaryland Casualty Company301719Agent - General Lines10/20/19893/31/1996
InactiveMetropolitan General Insurance Company300709Agent - Casualty8/15/20007/12/2001
InactiveMetropolitan General Insurance Company300709Agent - General Lines8/24/19938/15/2000
InactiveMetropolitan General Insurance Company300709Agent - Property8/15/20007/12/2001
InactiveMutual of Omaha Insurance Company301012Agent - Health5/8/20061/4/2012
InactiveNational Fire Insurance Company of Hartford301063Agent - Casualty11/8/200212/15/2003
InactiveNational Fire Insurance Company of Hartford301063Agent - General Lines4/7/19878/15/2000
InactiveNational Fire Insurance Company of Hartford301063Agent - Property11/8/200212/15/2003
InactiveNorthern Insurance Company of New York301317Agent - General Lines10/20/19893/31/1996
InactiveOhio Casualty Insurance Company301492Agent - Casualty8/15/200012/1/2022
InactiveOhio Casualty Insurance Company301492Agent - General Lines12/28/19988/15/2000
InactiveOhio Casualty Insurance Company301492Agent - Property8/15/200012/1/2022
InactiveOhio Security Insurance Company300622Agent - Casualty8/15/200012/1/2022
InactiveOhio Security Insurance Company300622Agent - General Lines10/1/19998/15/2000
InactiveOhio Security Insurance Company300622Agent - Property8/15/200012/1/2022
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life8/15/20013/31/2003
InactivePhiladelphia Indemnity Insurance Company301221Agent - Casualty1/19/201012/1/2022
InactivePhiladelphia Indemnity Insurance Company301221Agent - Property1/19/201012/1/2022
InactiveProtective Life Insurance Company300638Agent - Life4/1/200712/20/2010
InactivePruco Life Insurance Company300954Agent - Health1/21/201012/23/2014
InactivePruco Life Insurance Company300954Agent - Life1/21/201012/23/2014
InactiveReassure America Life Insurance Company301902Agent - Health9/15/19879/20/2004
InactiveReassure America Life Insurance Company301902Agent - Life9/15/19879/20/2004
InactiveSecurity National Insurance Company301151Agent - General Lines4/13/19892/26/1996
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Health4/24/20024/24/2003
InactiveSenior Health Insurance Company of Pennsylvania300251Agent - Life4/24/20024/24/2003
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty3/29/200112/1/2022
InactiveStandard Fire Insurance Company (The)301068Agent - Property3/29/200112/1/2022
InactiveStandard Insurance Company300185Agent - Health9/11/20014/13/2009
InactiveStandard Insurance Company300185Agent - Life9/11/20014/13/2009
InactiveTalcott Resolution Life Insurance Company301759Agent - Health3/14/199612/8/2009
InactiveTalcott Resolution Life Insurance Company301759Agent - Life3/14/199612/8/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health5/27/199712/8/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life5/27/199712/8/2009
InactiveThe Phoenix Insurance Company301502Agent - Casualty3/29/200112/1/2022
InactiveThe Phoenix Insurance Company301502Agent - Property3/29/200112/1/2022
InactiveTime Insurance Company300683Agent - Health2/19/200111/20/2002
InactiveTime Insurance Company300683Agent - Life2/19/200111/20/2002
InactiveTranscontinental Insurance Company301731Agent - Casualty8/15/200012/15/2003
InactiveTranscontinental Insurance Company301731Agent - General Lines4/7/19878/15/2000
InactiveTranscontinental Insurance Company301731Agent - Property8/15/200012/15/2003
InactiveTransportation Insurance Company301575Agent - Casualty8/15/200012/15/2003
InactiveTransportation Insurance Company301575Agent - General Lines4/7/19878/15/2000
InactiveTransportation Insurance Company301575Agent - Property8/15/200012/15/2003
InactiveTravCo Insurance Company301828Agent - Casualty3/29/200112/5/2013
InactiveTravCo Insurance Company301828Agent - Property3/29/200112/5/2013
InactiveTravelers Casualty Company of Connecticut301505Agent - Casualty9/3/200212/5/2013
InactiveTravelers Casualty Company of Connecticut301505Agent - Property9/3/200212/5/2013
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty7/18/200512/1/2022
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property7/18/200512/1/2022
InactiveTravelers Indemnity Company (The)301855Agent - Casualty3/29/200112/5/2013
InactiveTravelers Indemnity Company (The)301855Agent - Property3/29/200112/5/2013
InactiveTravelers Property Casualty Insurance Company301508Agent - Casualty9/3/200212/5/2013
InactiveTravelers Property Casualty Insurance Company301508Agent - Property9/3/200212/5/2013
InactiveTrinity Universal Insurance Company300911Agent - General Lines4/3/19892/26/1996
InactiveU.S. Financial Life Insurance Company301812Agent - Health9/20/19997/18/2003
InactiveU.S. Financial Life Insurance Company301812Agent - Life9/20/199911/15/2002
InactiveUnited World Life Insurance Company300532Agent - Health5/8/200612/15/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Health5/8/20061/4/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life5/8/20061/4/2012
InactiveUnitrin Auto and Home Insurance Company301538Agent - Casualty9/20/201212/1/2022
InactiveUnitrin Auto and Home Insurance Company301538Agent - Property9/20/201212/1/2022
InactiveUnitrin Preferred Insurance Company502869Agent - Casualty9/20/201212/2/2013
InactiveUnitrin Preferred Insurance Company502869Agent - Property9/20/201212/2/2013
InactiveUnitrin Safeguard Insurance Company301371Agent - Casualty10/11/201812/1/2022
InactiveUnitrin Safeguard Insurance Company301371Agent - Property10/11/201812/1/2022
InactiveValley Forge Insurance Company301052Agent - Casualty8/15/200012/15/2003
InactiveValley Forge Insurance Company301052Agent - General Lines4/7/19878/15/2000
InactiveValley Forge Insurance Company301052Agent - Property8/15/200012/15/2003
InactiveWest American Insurance Company301112Agent - Casualty8/15/200012/1/2022
InactiveWest American Insurance Company301112Agent - General Lines12/28/19988/15/2000
InactiveWest American Insurance Company301112Agent - Property8/15/200012/1/2022
InactiveWestern National Life Insurance Company300461Agent - Life8/13/200111/30/2007
InactiveWestern Surety Company300283Agent - General Lines6/14/19958/14/2000
InactiveWilcac Life Insurance Company301573Agent - Health9/15/198712/31/2000
InactiveWilcac Life Insurance Company301573Agent - Life9/15/198712/31/2000
InactiveZurich American Insurance Company301121Agent - General Lines8/4/19861/6/1997
InactiveZurich American Insurance Company of Illinois301805Agent - General Lines3/17/19881/6/1997
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDental Choice Agency Inc.398085Agent - Health1/29/200212/23/2014
InactiveE. N. Dornbusch Agency Inc.398456Agent - Life6/9/199312/1/2022
InactiveE. N. Dornbusch Agency Inc.398456Agent - Health6/9/199312/23/2014
InactiveE. N. Dornbusch Agency Inc.398456Agent - General Lines6/9/19938/15/2000
InactiveE. N. Dornbusch Agency Inc.398456Agent - Property8/15/200012/1/2022
InactiveE. N. Dornbusch Agency Inc.398456Agent - Casualty8/15/200012/1/2022

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