DEPARTMENT OF INSURANCE
Affiliations
NameWagner, Mark DavidDOIID325512NAIC NPN1891540
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentVariable Life and Variable Annuities5/31/2001 1/31/2025
ActiveResidentAgentLife7/24/1987 1/31/2025
ActiveResidentAgentHealth7/24/1987 1/31/2025
InactiveResidentAgentGeneral Lines12/19/19978/15/2000 
InactiveResidentAgentHealth Maintenance Organization8/1/19953/1/2001 
InactiveResidentAgentProperty8/15/200012/15/2003 
InactiveResidentAgentCasualty8/15/200012/15/2003 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent11/15/202401/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc.300694Agent - Health3/1/200112/31/2007
InactiveAetna Health Inc.300694Agent - Health Maintenance Organization5/10/19963/1/2001
ActiveAetna Health Inc. (PA)660717Agent - Health12/31/2007 
ActiveAetna Life Insurance Company301140Agent - Health6/21/1993 
ActiveAetna Life Insurance Company301140Agent - Life6/21/1993 
ActiveAll Savers Insurance Company301940Agent - Health5/19/2023 
ActiveAll Savers Insurance Company301940Agent - Life5/19/2023 
InactiveAllianz Life Insurance Company of North America301791Agent - Health2/11/201112/1/2015
InactiveAllianz Life Insurance Company of North America301791Agent - Life2/11/201112/1/2015
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities2/11/201112/1/2015
InactiveAmeribest Life Insurance Company301390Agent - Life4/24/200012/31/2002
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Casualty5/18/200112/15/2003
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Property5/18/200112/15/2003
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life3/5/20016/25/2008
InactiveAmerican General Life Insurance Company301585Agent - Health12/30/20053/28/2011
InactiveAmerican General Life Insurance Company301585Agent - Life12/30/20053/28/2011
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities12/30/20053/28/2011
InactiveAmerican United Life Insurance Company300498Agent - Health7/24/19877/8/2022
InactiveAmerican United Life Insurance Company300498Agent - Life7/24/19877/8/2022
InactiveAmerican United Life Insurance Company300498Agent - Variable Life and Variable Annuities11/2/20017/8/2022
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/24/2021 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/24/2021 
ActiveAnthem Life Insurance Company301209Agent - Health8/12/2002 
ActiveAnthem Life Insurance Company301209Agent - Life8/12/2002 
InactiveBanner Life Insurance Company301696Agent - Life1/7/200010/22/2020
InactiveBerkshire Life Insurance Company of America300983Agent - Health8/26/201010/12/2020
InactiveBerkshire Life Insurance Company of America300983Agent - Life8/26/201010/12/2020
ActiveBrighthouse Life Insurance Company301829Agent - Health4/13/2015 
ActiveBrighthouse Life Insurance Company301829Agent - Life4/13/2015 
InactiveBuckeye Union Insurance Company (The)300597Agent - General Lines12/19/19973/31/1998
InactiveCHA HMO, Inc.300662Agent - Health2/1/200212/10/2012
InactiveChesapeake Life Insurance Company (The)301017Agent - Health10/14/202012/22/2022
InactiveColonial Life and Accident Insurance Company300846Agent - Health4/15/20091/10/2012
InactiveColonial Life and Accident Insurance Company300846Agent - Life4/15/20091/10/2012
InactiveCompBenefits Dental, Inc.591692Agent - Health1/25/201612/13/2016
InactiveCompBenefits Insurance Company301864Agent - Health11/9/20127/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life11/9/20127/2/2013
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/24/2021 
InactiveConseco Medical Insurance Company300719Agent - Health3/15/19953/9/1998
InactiveConseco Medical Insurance Company300719Agent - Life3/15/19953/9/1998
InactiveConsolidated Insurance Company300943Agent - General Lines2/3/19992/29/2000
InactiveContinental Casualty Company301019Agent - Casualty8/15/200012/15/2003
InactiveContinental Casualty Company301019Agent - General Lines12/19/19978/15/2000
InactiveContinental Casualty Company301019Agent - Health11/1/200111/29/2004
InactiveContinental Casualty Company301019Agent - Property8/15/200012/15/2003
InactiveContinental General Insurance Company300691Agent - Health8/9/20181/25/2019
InactiveContinental Insurance Company (The)301242Agent - Casualty8/15/20009/3/2002
InactiveContinental Insurance Company (The)301242Agent - General Lines12/19/19978/15/2000
InactiveContinental Insurance Company (The)301242Agent - Property8/15/20009/3/2002
InactiveCoventry Health and Life Insurance Company301771Agent - Health12/9/20156/15/2022
ActiveDental Care Plus Inc.301495Agent - Health12/28/2012 
ActiveDental Concern Inc. (The)301641Agent - Health6/20/2002 
InactiveEquitable Financial Life Insurance Company300808Agent - Health3/11/201512/28/2020
InactiveEquitable Financial Life Insurance Company300808Agent - Life3/11/201512/28/2020
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities3/11/201512/28/2020
InactiveEquitable Financial Life Insurance Company of America301772Agent - Health3/11/201512/18/2018
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life3/11/201512/18/2018
InactiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities3/11/201512/18/2018
InactiveFidelity and Casualty Company of New York (The)300160Agent - Casualty8/15/20009/3/2002
InactiveFidelity and Casualty Company of New York (The)300160Agent - General Lines12/19/19978/15/2000
InactiveFidelity and Casualty Company of New York (The)300160Agent - Property8/15/20009/3/2002
InactiveFiremen's Insurance Company of Newark, New Jersey300247Agent - General Lines12/19/19973/31/1998
InactiveFirst Colony Life Insurance Company301179Agent - Health12/22/20041/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life12/22/20041/1/2007
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health2/23/199812/26/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life2/23/199812/26/2008
ActiveFortitude Life Insurance & Annuity Company301503Agent - Life12/3/2001 
ActiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities12/3/2001 
InactiveGenworth Life Insurance Company300623Agent - Health4/11/199612/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life4/11/199612/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health1/1/200712/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/200712/7/2012
InactiveGlens Falls Insurance Company (The)301922Agent - General Lines12/19/199712/30/1999
ActiveGolden Rule Insurance Company301943Agent - Health2/1/2021 
ActiveGolden Rule Insurance Company301943Agent - Life2/1/2021 
InactiveGuarantee Life Insurance Company301560Agent - Life10/31/19979/8/2000
ActiveGuardian Life Insurance Company of America301316Agent - Health8/26/2010 
ActiveGuardian Life Insurance Company of America301316Agent - Life8/26/2010 
ActiveHartford Life and Accident Insurance Company300878Agent - Health5/25/2022 
ActiveHartford Life and Accident Insurance Company300878Agent - Life5/25/2022 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health2/11/202112/13/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health2/11/202112/13/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health Maintenance Organization8/1/19953/1/2001
ActiveHumana Health Plan, Inc.300142Agent - Health3/1/2001 
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization10/29/19963/1/2001
InactiveHumana Insurance Company301104Agent - Health4/5/199412/13/2022
InactiveHumana Insurance Company301104Agent - Life4/5/199412/13/2022
ActiveHumana Insurance Company of Kentucky300826Agent - Health12/30/2019 
InactiveHumana Insurance Company of Kentucky300826Agent - Life1/29/201912/19/2019
InactiveHumana Medical Plan, Inc.801568Agent - Health2/11/202112/13/2022
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health2/11/202112/13/2022
InactiveHumanaDental Insurance Company301457Agent - Health10/18/20015/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life3/21/20075/13/2013
ActiveIllinois Mutual Life Insurance Company301479Agent - Health12/11/2017 
ActiveIllinois Mutual Life Insurance Company301479Agent - Life12/11/2017 
InactiveIndiana Insurance Company301909Agent - General Lines2/3/19992/29/2000
InactiveIndianapolis Life Insurance Company301381Agent - Health5/18/199810/9/2000
InactiveIndianapolis Life Insurance Company301381Agent - Life5/18/199810/9/2000
InactiveJackson National Life Insurance Company300486Agent - Life8/3/20074/28/2012
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities8/3/20074/28/2012
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health11/20/19977/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life11/20/19977/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Variable Life and Variable Annuities5/31/20017/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health4/14/19974/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life4/14/19974/2/2007
InactiveJohn Alden Life Insurance Company300573Agent - Health11/22/200512/29/2008
InactiveJohn Alden Life Insurance Company300573Agent - Life11/22/200512/29/2008
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health11/5/2021 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life11/5/2021 
InactiveKanawha Insurance Company300127Agent - Health5/26/20178/9/2018
InactiveKanawha Insurance Company300127Agent - Life4/10/200810/22/2015
InactiveKansas City Fire and Marine Insurance Company301936Agent - General Lines12/19/199712/30/1999
InactiveKentucky Health Cooperative, Inc.798780Agent - Health3/3/201410/29/2015
ActiveLincoln National Life Insurance Company (The)301382Agent - Health4/2/2007 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life4/2/2007 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities4/24/2007 
ActiveMetropolitan Life Insurance Company301948Agent - Health11/9/2012 
ActiveMetropolitan Life Insurance Company301948Agent - Life11/9/2012 
InactiveMidland Life Insurance Company (The)300310Agent - Health1/29/19983/31/2001
InactiveMidland Life Insurance Company (The)300310Agent - Life1/29/19983/31/2001
ActiveMinnesota Life Insurance Company300488Agent - Health8/10/2016 
ActiveMinnesota Life Insurance Company300488Agent - Life8/10/2016 
ActiveMinnesota Life Insurance Company300488Agent - Variable Life and Variable Annuities8/10/2016 
InactiveNational Fire Insurance Company of Hartford301063Agent - Casualty8/15/200012/15/2003
InactiveNational Fire Insurance Company of Hartford301063Agent - General Lines12/19/19978/15/2000
InactiveNational Fire Insurance Company of Hartford301063Agent - Property8/15/200012/15/2003
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health5/29/201812/17/2020
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life5/29/201812/17/2020
InactiveNetherlands Insurance Company (The)300339Agent - General Lines2/3/19992/29/2000
InactiveNorth American Company for Life and Health Insurance300291Agent - Life12/24/20122/22/2013
InactiveOld Republic Life Insurance Company301214Agent - Health2/19/19989/28/2004
InactiveOld Republic Life Insurance Company301214Agent - Life2/19/19989/28/2004
InactivePacifiCare Life Assurance Company301082Agent - Health6/22/19987/31/2001
InactivePacifiCare Life Assurance Company301082Agent - Life6/22/19987/31/2001
InactivePacifiCare of Ohio Inc.301904Agent - Health3/1/20013/31/2001
InactivePacifiCare of Ohio Inc.301904Agent - Health Maintenance Organization10/24/19963/1/2001
InactivePacific Life Insurance Company301848Agent - Life6/21/201812/10/2022
InactivePaul Revere Life Insurance Company300971Agent - Health9/17/199812/11/2002
InactivePaul Revere Life Insurance Company300971Agent - Life9/17/199812/11/2002
InactivePeerless Insurance Company301910Agent - General Lines2/3/19992/29/2000
InactivePenn Insurance and Annuity Company300712Agent - Life6/22/20164/21/2019
InactivePenn Mutual Life Insurance Company301394Agent - Life6/22/20164/21/2019
InactivePioneer Mutual Life Insurance Company501695Agent - Health2/6/20145/17/2017
InactivePioneer Mutual Life Insurance Company501695Agent - Life2/6/20145/17/2017
ActivePrincipal Life Insurance Company300129Agent - Health5/30/2012 
ActivePrincipal Life Insurance Company300129Agent - Life5/30/2012 
ActivePrincipal National Life Insurance Company301926Agent - Life8/22/2013 
ActiveProtective Life Insurance Company300638Agent - Health3/13/2022 
ActiveProtective Life Insurance Company300638Agent - Life3/13/2022 
InactiveProvident Life and Accident Insurance Company301525Agent - Health2/6/202011/30/2023
InactiveProvident Life and Accident Insurance Company301525Agent - Life2/6/202011/30/2023
InactivePruco Life Insurance Company300954Agent - Health11/4/200512/24/2018
ActivePruco Life Insurance Company300954Agent - Life2/7/2022 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities2/7/2022 
InactivePrudential Insurance Company of America300784Agent - Life6/20/200010/2/2003
InactiveReassure America Life Insurance Company301902Agent - Health1/22/19979/20/2004
InactiveReassure America Life Insurance Company301902Agent - Life1/22/19979/20/2004
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health10/31/199612/30/1998
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life10/31/199612/30/1998
InactiveStandard Insurance Company300185Agent - Health6/15/201012/5/2022
InactiveStandard Insurance Company300185Agent - Life6/15/201012/5/2022
InactiveStarmount Life Insurance Company628031Agent - Health2/6/202011/30/2023
InactiveState Life Insurance Company301497Agent - Health2/6/20146/14/2023
InactiveState Life Insurance Company301497Agent - Life2/6/20146/14/2023
ActiveSuperior Dental Care Inc.300418Agent - Health12/21/2017 
InactiveTime Insurance Company300683Agent - Health4/19/200512/28/2006
InactiveTime Insurance Company300683Agent - Life4/19/200512/28/2006
InactiveTransamerica Life Insurance Company300571Agent - Health2/20/20226/17/2024
InactiveTransamerica Life Insurance Company300571Agent - Life2/20/20226/17/2024
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities5/10/2011 
InactiveTransamerica Premier Life Insurance Company300558Agent - Health10/1/201412/29/2014
InactiveTransamerica Premier Life Insurance Company300558Agent - Life10/1/201412/29/2014
InactiveTransamerica Premier Life Insurance Company300558Agent - Variable Life and Variable Annuities10/1/201412/29/2014
InactiveTranscontinental Insurance Company301731Agent - Casualty8/15/200012/15/2003
InactiveTranscontinental Insurance Company301731Agent - General Lines12/19/19978/15/2000
InactiveTranscontinental Insurance Company301731Agent - Property8/15/200012/15/2003
InactiveTransportation Insurance Company301575Agent - Casualty8/15/200012/15/2003
InactiveTransportation Insurance Company301575Agent - General Lines12/19/19978/15/2000
InactiveTransportation Insurance Company301575Agent - Property8/15/200012/15/2003
InactiveU.S. Financial Life Insurance Company301812Agent - Health6/29/199910/2/2007
InactiveU.S. Financial Life Insurance Company301812Agent - Life6/29/199910/2/2007
InactiveUNUM Life Insurance Company of America300817Agent - Health2/6/202011/30/2023
InactiveUNUM Life Insurance Company of America300817Agent - Life2/6/202011/30/2023
InactiveUnited of Omaha Life Insurance Company300156Agent - Health9/17/19935/3/2013
InactiveUnited of Omaha Life Insurance Company300156Agent - Life9/17/199310/17/2005
ActiveUnitedHealthcare Insurance Company300946Agent - Health6/16/2003 
ActiveUnitedHealthcare Insurance Company300946Agent - Life6/16/2003 
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health10/3/2021 
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/30/2022 
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health Maintenance Organization4/9/19983/1/2001
InactiveUnum Insurance Company301499Agent - Health2/6/202011/30/2023
InactiveUnum Insurance Company301499Agent - Life2/6/202011/30/2023
InactiveValley Forge Insurance Company301052Agent - Casualty8/15/200012/15/2003
InactiveValley Forge Insurance Company301052Agent - General Lines12/19/19978/15/2000
InactiveValley Forge Insurance Company301052Agent - Property8/15/200012/15/2003
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Health6/21/19939/3/2003
InactiveVoya Retirement Insurance and Annuity Company300643Agent - Life6/21/19939/3/2003
InactiveWest Coast Life Insurance Company301607Agent - Health10/16/200911/16/2011
InactiveWest Coast Life Insurance Company301607Agent - Life10/16/200911/16/2011
InactiveWestern National Life Insurance Company300461Agent - Life6/19/20001/12/2006
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Health6/13/200810/1/2014
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Life6/13/200810/1/2014
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Variable Life and Variable Annuities6/13/200810/1/2014
InactiveZurich American Life Insurance Company300216Agent - Life5/22/201812/22/2021
Inactive300277Agent - Life3/30/19991/1/2007
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcordia Senior of The Southeast Inc.401297Agent - Life2/20/19962/10/2004
InactiveAcordia Senior of The Southeast Inc.401297Agent - Health2/20/19962/10/2004
InactiveArison Insurance Services, Inc.401001Agent - Life8/6/20022/5/2003
InactiveArison Insurance Services, Inc.401001Agent - Health8/6/20022/5/2003
ActiveCBISA Reaquisitian Corp547026Agent - Life11/8/2002 
ActiveCBISA Reaquisitian Corp547026Agent - Health11/8/2002 
ActiveDental Choice Agency Inc.398085Agent - Health4/13/2009 
ActiveDesignated Agent Company Inc.681257Agent - Life12/12/2013 
ActiveDesignated Agent Company Inc.681257Agent - Health12/12/2013 
InactiveHealthplan Services, Inc.401230Agent - Health8/31/19953/31/1997
InactiveMorgan Trevathan and Gunn Inc.398365Agent - Life8/19/20088/26/2013
InactiveMorgan Trevathan and Gunn Inc.398365Agent - Health8/19/20088/26/2013
ActiveNewman & Tucker Inc.398983Agent - Life4/23/2012 
ActiveNewman & Tucker Inc.398983Agent - Health4/23/2012 
ActiveThoroughbred Financial Agency, LLC398995Agent - Life3/14/2012 
ActiveThoroughbred Financial Agency, LLC398995Agent - Health3/14/2012 

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