DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wierkiewicz, David J	DOIID	868183	NAIC NPN	6515379

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/6/2015	4/30/2024
Inactive	Non Resident	Agent	Casualty	2/6/2015	4/30/2024
Inactive	Non Resident	Agent	Property	2/6/2015	4/30/2024
Inactive	Non Resident	Agent	Health	2/6/2015	4/30/2024
* 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	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	3/5/2015	4/30/2024
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	3/5/2015	4/30/2024
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	3/5/2015	4/30/2024
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/16/2017	4/30/2024
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/16/2017	4/30/2024
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/16/2017	4/30/2024
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/16/2017	4/30/2024
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	7/18/2023	4/30/2024
Inactive	Zurich American Insurance Company	301121	Agent - Property	7/18/2023	4/30/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Towers Watson US LLC	705053	Agent - Life	6/21/2016	9/25/2023
Inactive	Willis Towers Watson US LLC	705053	Agent - Health	6/21/2016	9/25/2023
Inactive	Willis Towers Watson US LLC	705053	Agent - Property	7/18/2023	9/25/2023
Inactive	Willis Towers Watson US LLC	705053	Agent - Casualty	7/18/2023	9/25/2023