DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Waltz, Nicholas Alan	DOIID	562200	NAIC NPN	1785432

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	5/16/2003	7/1/2010
Inactive	Resident	Apprentice Adjuster	Not Applicable	12/19/2002	5/16/2003
Active	Resident	Staff Adjuster	Property & Casualty	12/10/2024		4/30/2027
* 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
Staff Adjuster	02/15/2025	04/30/2025	04/02/2025	04/02/2025	Yes

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	State Farm Mutual Automobile Insurance Company	301732	Adjuster - Independent	7/18/2007	7/1/2010
Inactive	State Farm Mutual Automobile Insurance Company	301732	Staff Adjuster - Property & Casualty	7/1/2010	3/21/2016

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sharon, Christopher James	675409	Apprentice Adjuster - Not Applicable	2/29/2008	8/15/2008

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Driscoll, Joseph Carl	549359	Apprentice Adjuster - Not Applicable	12/19/2002	5/16/2003