DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Echelon Advisors, LLC	DOIID	1090405	NAIC NPN	18443003

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	7/23/2020	4/1/2024
Inactive	Non Resident	Agent	Property	7/23/2020	4/1/2024
Inactive	Non Resident	Agent	Casualty	7/23/2020	4/1/2024
Inactive	Non Resident	Agent	Life	7/23/2020	4/1/2024
Inactive	Non Resident	Agent	Personal Lines	7/23/2020	4/1/2024
* 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	Berkley Life and Health Insurance Company	301421	Agent - Health	7/28/2020	4/1/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wagner, Thomas Adam	664045	Agent - Casualty	7/23/2020	1/31/2024
Inactive	Wagner, Thomas Adam	664045	Agent - Health	7/23/2020	1/31/2024
Inactive	Wagner, Thomas Adam	664045	Agent - Life	7/23/2020	1/31/2024
Inactive	Wagner, Thomas Adam	664045	Agent - Personal Lines	7/23/2020	1/31/2024
Inactive	Wagner, Thomas Adam	664045	Agent - Property	7/23/2020	1/31/2024