DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Walkiewicz, Rafal	DOIID	1132115	NAIC NPN	19775571

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Health	4/29/2021		6/30/2025
Pending Replacement	Non Resident	Agent	Life	4/29/2021		6/30/2025
* 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	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	5/24/2022	6/26/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	5/24/2022	6/26/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/24/2022	6/26/2025
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022	2/17/2025
Inactive	SilverScript Insurance Company	663526	Agent - Health	5/24/2022	6/26/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/5/2022	2/17/2025
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	5/5/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/5/2022	2/17/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Audomo Insurance Services Llc	1140089	Agent - Life	6/16/2021	7/8/2025
Inactive	Audomo Insurance Services Llc	1140089	Agent - Health	6/16/2021	6/26/2025