DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wagner, Donielle R	DOIID	345271	NAIC NPN	518175

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/7/1995	11/30/2005
Inactive	Non Resident	Agent	Life	1/6/2009	11/30/2011
* 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	Allianz Life Insurance Company of North America	301791	Agent - Life	11/19/2009	11/30/2011
Inactive	Athene Annuity and Life Company	301893	Agent - Life	8/4/2009	8/5/2011
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	9/14/1995	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	9/14/1995	3/31/1997
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	11/17/1995	11/30/2005
Inactive	Inter-State Assurance Company	301556	Agent - Life	9/18/1995	2/23/2001
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	8/23/1995	8/15/2003
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	8/23/1995	8/15/2003
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	10/25/2002	11/30/2005
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	10/25/2002	11/30/2005
Inactive	Union Security Insurance Company	301844	Agent - Health	10/9/1995	11/24/2003
Inactive	Union Security Insurance Company	301844	Agent - Life	10/9/1995	11/24/2003
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	8/7/1995	12/9/1999
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	8/7/1995	12/9/1999
Inactive	Zurich American Life Insurance Company	300216	Agent - Life	9/19/1995	11/30/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	8/9/2001	11/30/2005
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	8/9/2001	11/30/2005
Inactive	World Marketing Alliance Inc.	398156	Agent - Life	5/6/1997	3/21/2003
Inactive	World Marketing Alliance Inc.	398156	Agent - Health	5/6/1997	3/21/2003