DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Berta, William John	DOIID	636535	NAIC NPN	8858702

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	2/2/2024		1/31/2026
Active	Non Resident	Agent	Life	2/2/2024		1/31/2026
Inactive	Non Resident	Agent	Personal Lines	10/18/2011	1/31/2014
Inactive	Non Resident	Staff Adjuster	Property & Casualty	9/21/2013	1/31/2016
* 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	Lumico Life Insurance Company	300354	Agent - Life	2/6/2024	4/12/2024
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/2/2024	4/15/2024
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Personal Lines	1/11/2012	9/19/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/2/2024	4/15/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/2/2024	4/15/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nationwide Sales Solutions Inc	631821	Agent - Personal Lines	1/18/2012	8/23/2013