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DEPARTMENT OF INSURANCE
Affiliations
Name
Wagner, Adam
DOIID
1083708
NAIC NPN
18417629
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
5/12/2020
2/28/2023
Inactive
Non Resident
Agent
Health
5/12/2020
2/28/2023
* 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
Anthem Life Insurance Company
301209
Agent - Health
6/11/2020
11/3/2021
Inactive
Anthem Life Insurance Company
301209
Agent - Life
6/11/2020
11/3/2021
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
2/26/2021
4/7/2023
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
2/26/2021
4/7/2023
Inactive
Humana Insurance Company
301104
Agent - Health
2/26/2021
4/7/2023
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
2/26/2021
4/7/2023
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
2/26/2021
4/7/2023
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
3/10/2021
2/28/2023
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
3/10/2021
2/28/2023
Inactive
Starmount Life Insurance Company
628031
Agent - Health
3/10/2021
2/28/2023
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
3/10/2021
2/28/2023
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
3/10/2021
2/28/2023
Inactive
Unum Insurance Company
301499
Agent - Health
3/10/2021
2/28/2023
Inactive
Unum Insurance Company
301499
Agent - Life
3/10/2021
2/28/2023
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Dental Choice Agency Inc.
398085
Agent - Health
3/12/2021
2/28/2023
Inactive
Designated Agent Company Inc.
681257
Agent - Life
6/11/2020
2/28/2023
Inactive
Designated Agent Company Inc.
681257
Agent - Health
6/11/2020
2/28/2023
Inactive
Paychex Insurance Agency Inc
509469
Agent - Life
6/11/2020
1/19/2022
Inactive
Paychex Insurance Agency Inc
509469
Agent - Health
6/11/2020
1/19/2022
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