DEPARTMENT OF INSURANCE
Affiliations
NameBuckholtz, Jack WDOIID1173225NAIC NPN20141278
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentPersonal Lines11/18/2021 2/28/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent12/15/202602/28/2027   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAMCO Insurance Company300204Agent - Personal Lines1/3/20228/24/2022
InactiveAllied Insurance Company of America793586Agent - Personal Lines1/3/20228/24/2022
InactiveAllied Property and Casualty Insurance Company300279Agent - Personal Lines1/3/20228/24/2022
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Personal Lines7/16/2026 
ActiveBristol West Insurance Company301655Agent - Personal Lines7/14/2022 
ActiveDairyland Insurance Company301370Agent - Personal Lines5/24/2023 
InactiveDepositors Insurance Company301634Agent - Personal Lines1/3/20228/24/2022
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Personal Lines7/14/2022 
InactiveHomesite Insurance Company301139Agent - Personal Lines1/11/20227/7/2025
InactiveHomesite Insurance Company of the Midwest874850Agent - Personal Lines1/11/20227/7/2025
ActiveIntegon General Insurance Corporation301186Agent - Personal Lines10/22/2025 
ActiveIntegon Indemnity Corporation300674Agent - Personal Lines7/13/2023 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Personal Lines5/29/2026 
ActiveLiberty Mutual Personal Insurance Company959584Agent - Personal Lines12/9/2024 
ActiveNational General Insurance Company300152Agent - Personal Lines10/22/2025 
InactiveNationwide Agribusiness Insurance Company301008Agent - Personal Lines1/3/20228/24/2022
InactiveNationwide Assurance Company300166Agent - Personal Lines1/3/20228/24/2022
InactiveNationwide General Insurance Company300603Agent - Personal Lines1/3/20228/24/2022
InactiveNationwide Insurance Company of America300333Agent - Personal Lines1/3/20228/24/2022
InactiveNationwide Mutual Insurance Company301749Agent - Personal Lines1/3/20228/24/2022
InactiveNationwide Property and Casualty Insurance Company300599Agent - Personal Lines1/3/20228/24/2022
ActiveProgressive Casualty Insurance Company300696Agent - Personal Lines1/25/2022 
InactiveUnitrin Auto and Home Insurance Company301538Agent - Personal Lines1/5/202210/23/2024
InactiveUnitrin Safeguard Insurance Company301371Agent - Personal Lines1/5/202210/23/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveHelmsman Insurance Agency Llc572054Agent - Personal Lines8/22/2024 

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