DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wagner, Dave	DOIID	1256935	NAIC NPN	19780782

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/28/2025		2/28/2027
Active	Non Resident	Agent	Life	1/28/2025		2/28/2027
* 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
Active	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	3/28/2025
Inactive	Lumico Life Insurance Company	300354	Agent - Life	3/7/2023	8/31/2023
Active	Tier One Insurance Company	301056	Agent - Health	3/7/2025
Active	Tier One Insurance Company	301056	Agent - Life	3/7/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Life	3/27/2023	8/31/2023
Denied	Assurance IQ, LLC	919554	Agent - Health