Individual Information

NATHAN J WALKER

STEVENS POINT, WI 54481-2860

Active

tonia.spees@amwins.com

01/04/2017

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3212708	01/04/2017	Active	01/04/2017	01/31/2026
Non-Res. Surplus Lines Broker	3345832	06/07/2018	Active	06/07/2018	06/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	01/04/2017	Active	01/04/2017
Health	01/04/2017	Active	01/04/2017
Life	01/04/2017	Active	01/04/2017
Property	01/04/2017	Active	01/04/2017
Surplus Lines	06/07/2018	Active	06/07/2018

Company Name	Appointment Type	Status	Active Date
17
ACE AMERICAN INSURANCE COMPANY	Health	Active	04/08/2019
233
Company Name	Appointment Type	Status	Active Date
FEDERAL INSURANCE COMPANY	Health	Active	04/08/2019
275
Company Name	Appointment Type	Status	Active Date
GERBER LIFE INSURANCE COMPANY	Health	Active	10/30/2017
	Life	Active	10/30/2017
25
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN ALLIANCE INSURANCE COMPANY	Casualty	Active	05/04/2017
	Property	Active	05/04/2017
1125
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN ASSURANCE COMPANY	Casualty	Active	05/04/2017
	Property	Active	05/04/2017
288
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN INSURANCE COMPANY	Casualty	Active	05/04/2017
	Health	Active	01/14/2019
	Property	Active	05/04/2017
65
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN INSURANCE COMPANY OF NEW YORK	Casualty	Active	05/04/2017
	Property	Active	05/04/2017
431
Company Name	Appointment Type	Status	Active Date
MUTUAL OF OMAHA INSURANCE COMPANY	Health	Active	10/06/2020
1295
Company Name	Appointment Type	Status	Active Date
PHILADELPHIA INDEMNITY INSURANCE COMPANY	Casualty	Active	03/01/2019
	Health	Active	03/01/2019
	Property	Active	03/01/2019
737
Company Name	Appointment Type	Status	Active Date
ZURICH AMERICAN INSURANCE COMPANY	Casualty	Active	10/23/2018
	Property	Active	10/23/2018

row(s) 1 - 19 of 19

Organization	Association Type	Type	Beg dte	End dte
SPECIAL MARKETS INS CONSULTANTS INC	Designated Resp Lic Prdcr	Agency	03/12/2020	-
SPECIAL MARKETS PURCHASING GROUP INC	Risk Purchasing Grp-Agnt/Brkr	Company	01/25/2019	-

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