DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Walters, Andrew	DOIID	988537	NAIC NPN	18737535

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	7/20/2020		7/31/2024
Active	Resident	Agent	Life	7/16/2020		7/31/2024
Inactive	Resident	Apprentice Adjuster	Not Applicable	3/27/2018	10/5/2018
Inactive	Resident	Staff Adjuster	Property & Casualty	10/5/2018	7/31/2020
* 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
Agent	05/15/2024	07/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	8/11/2020	6/21/2023
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	8/11/2020	6/21/2023
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	8/11/2020	6/21/2023
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	8/11/2020	6/21/2023
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	9/2/2020	1/8/2021

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brozik, Chad Christopher	586092	Apprentice Adjuster - Not Applicable	3/27/2018	10/5/2018