DEPARTMENT OF INSURANCE

Affiliations

Name	Wireman, David Brad	DOIID	345750	NAIC NPN	1488290

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	2/17/2005	3/1/2010
Inactive	Resident	Agent	Health	2/27/2008	3/1/2010
Inactive	Resident	Agent	Health Maintenance Organization	6/17/1998	3/1/2001
Inactive	Resident	Agent	General Lines	10/15/1998	8/15/2000
Inactive	Resident	Agent	Life	2/27/2008	3/1/2010
Inactive	Resident	Agent	Property	2/27/2008	3/1/2010
* 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	American Equity Specialty Insurance Company	517546	Agent - Casualty	2/5/2001	3/23/2001
Inactive	American Equity Specialty Insurance Company	517546	Agent - Property	2/5/2001	3/23/2001
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	2/27/2008	3/1/2010
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	2/15/1999	8/15/2000
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/15/2000	11/3/2003
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	3/1/2010
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	3/1/2010
Inactive	American General Life Insurance Company	301585	Agent - Health	5/2/2008	3/1/2010
Inactive	American General Life Insurance Company	301585	Agent - Life	5/2/2008	3/1/2010
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/15/2000	11/3/2003
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	2/15/1999	8/15/2000
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/15/2000	11/3/2003
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	2/23/1999	11/3/2003
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	2/23/1999	11/3/2003
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	3/1/2010
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	3/1/2010
Inactive	Continental General Insurance Company	300691	Agent - Health	10/28/1998	11/7/2002
Inactive	Continental General Insurance Company	300691	Agent - Life	10/28/1998	11/7/2002
Inactive	Cotton States Life Insurance Company	300268	Agent - Life	12/30/1998	11/3/2003
Inactive	Cotton States Mutual Insurance Company	300269	Agent - Casualty	8/15/2000	11/3/2003
Inactive	Cotton States Mutual Insurance Company	300269	Agent - General Lines	12/30/1998	8/15/2000
Inactive	Cotton States Mutual Insurance Company	300269	Agent - Property	8/15/2000	11/3/2003
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	1/15/2010	1/25/2010
Inactive	Dairyland Insurance Company	301370	Agent - Property	2/23/2001	10/24/2001
Inactive	Falls Lake National Insurance Company	301796	Agent - General Lines	10/27/1998	8/15/2000
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/15/2000	4/30/2004
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - General Lines	10/15/1998	8/15/2000
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/15/2000	4/30/2004
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	8/15/2000	11/3/2003
Inactive	Foremost Signature Insurance Company	300140	Agent - General Lines	10/15/1998	8/15/2000
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	8/15/2000	11/3/2003
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	9/13/2002
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	6/17/1998	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	6/17/1998	9/13/2002
Inactive	Humana Insurance Company	301104	Agent - Life	6/17/1998	9/13/2002
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	3/8/2001	12/17/2002
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	3/8/2001	12/17/2002
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	3/1/2010
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	3/1/2010
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	10/27/1998	8/15/2000
Inactive	Life Insurance Company of Alabama	301439	Agent - Health	12/9/1998	4/30/2004
Inactive	Life Insurance Company of Alabama	301439	Agent - Life	12/9/1998	4/30/2004
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	5/20/1998	11/17/1998
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Health	10/3/2005	1/19/2006
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Life	10/3/2005	1/19/2006
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	3/1/2010
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	3/1/2010
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	10/2/1998	11/3/2003
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	3/1/2010
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	3/1/2010
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	3/1/2010
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	3/1/2010
Inactive	Old Republic Life Insurance Company	301214	Agent - Health	10/2/1998	2/12/2003
Inactive	Old Republic Life Insurance Company	301214	Agent - Life	10/2/1998	2/12/2003
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008	3/1/2010
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008	3/1/2010
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008	3/1/2010
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2008	3/1/2010
Inactive	Pinnacle National Insurance Company	300698	Agent - Casualty	8/15/2000	6/26/2001
Inactive	Pinnacle National Insurance Company	300698	Agent - General Lines	12/9/1999	8/15/2000
Inactive	Pinnacle National Insurance Company	300698	Agent - Property	8/15/2000	6/26/2001
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	1/6/2000	8/15/2000
Inactive	Progressive Northern Insurance Company	301378	Agent - General Lines	1/6/2000	8/15/2000
Inactive	Progressive Northwestern Insurance Company	300441	Agent - General Lines	1/6/2000	8/15/2000
Inactive	Protective Life Insurance Company	300638	Agent - Health	10/15/1998	4/30/2004
Inactive	Protective Life Insurance Company	300638	Agent - Life	10/15/1998	4/30/2004
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	9/13/2005	9/30/2007
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	9/13/2005	9/30/2007
Inactive	Sentry Insurance Company	300222	Agent - Casualty	1/12/2001	10/24/2001
Inactive	Sentry Insurance Company	300222	Agent - Property	1/12/2001	10/24/2001
Inactive	Sentry Life Insurance Company	301461	Agent - Health	1/12/2001	10/24/2001
Inactive	Sentry Life Insurance Company	301461	Agent - Life	1/12/2001	10/24/2001
Inactive	Shield Insurance Company	300992	Agent - Casualty	8/15/2000	11/3/2003
Inactive	Shield Insurance Company	300992	Agent - General Lines	12/30/1998	8/15/2000
Inactive	Shield Insurance Company	300992	Agent - Property	8/15/2000	11/3/2003
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	8/22/2002	1/5/2004
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	8/22/2002	1/5/2004
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	8/22/2002	1/5/2004
Inactive	State Farm General Insurance Company	301122	Agent - Property	8/22/2002	1/5/2004
Inactive	State Farm Life Insurance Company	301810	Agent - Life	8/22/2002	1/5/2004
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	8/22/2002	1/5/2004
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	8/22/2002	1/5/2004
Inactive	Time Insurance Company	300683	Agent - Health	3/11/2003	11/3/2003
Inactive	United American Insurance Company	300910	Agent - Health	11/16/2005	3/30/2007
Inactive	United American Insurance Company	300910	Agent - Life	11/16/2005	3/30/2007
Inactive	United Investors Life Insurance Company	301873	Agent - Life	11/16/2005	3/30/2007
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	3/1/2010
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	3/1/2010
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	4/15/2002
Inactive	Western Surety Company	300283	Agent - General Lines	10/28/1998	8/15/2000
Inactive	Windhaven National Insurance Company	300094	Agent - General Lines	3/25/1999	8/15/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Dental Choice Agency Inc.	398085	Agent - Health
Inactive	Taylor and Shelton Insurance, LLC	592078	Agent - Property	10/3/2005	9/30/2007
Inactive	Taylor and Shelton Insurance, LLC	592078	Agent - Casualty	10/3/2005	3/1/2010