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DEPARTMENT OF INSURANCE
Affiliations
Name
Wagner, Martin D
DOIID
348307
NAIC NPN
3316328
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Casualty
8/15/2000
1/12/2004
Inactive
Resident
Agent
Variable Life and Variable Annuities
7/15/2002
7/1/2006
Inactive
Resident
Agent
Life
7/15/2002
7/1/2006
Inactive
Resident
Agent
Health
7/24/1997
7/1/2006
Inactive
Resident
Agent
Property
8/15/2000
1/12/2004
Inactive
Resident
Agent
General Lines
7/17/1997
8/15/2000
* 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.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allstate Indemnity Company
300778
Agent - Casualty
8/31/2000
5/11/2003
Inactive
Allstate Indemnity Company
300778
Agent - Property
8/31/2000
5/11/2003
Inactive
Allstate Insurance Company
300773
Agent - Casualty
8/15/2000
5/11/2003
Inactive
Allstate Insurance Company
300773
Agent - General Lines
7/17/1997
8/15/2000
Inactive
Allstate Insurance Company
300773
Agent - Property
8/15/2000
5/11/2003
Inactive
American Heritage Life Insurance Company
300272
Agent - Health
6/29/2000
4/29/2004
Inactive
American Heritage Life Insurance Company
300272
Agent - Life
6/29/2000
4/29/2004
Inactive
American Network Insurance Company
301156
Agent - Health
4/16/1998
12/21/1998
Inactive
Bankers Life and Casualty Company
300701
Agent - Health
4/26/2003
1/16/2004
Inactive
Bankers Life and Casualty Company
300701
Agent - Life
4/26/2003
1/16/2004
Inactive
Colonial Penn Life Insurance Company
300491
Agent - Health
5/27/2003
1/16/2004
Inactive
Colonial Penn Life Insurance Company
300491
Agent - Life
5/27/2003
1/16/2004
Inactive
Everlake Life Insurance Company
300873
Agent - Health
7/24/1997
5/11/2003
Inactive
Everlake Life Insurance Company
300873
Agent - Life
7/24/1997
5/11/2003
Inactive
Everlake Life Insurance Company
300873
Agent - Variable Life and Variable Annuities
2/3/2005
7/1/2006
Inactive
Guarantee Trust Life Insurance Company
301043
Agent - Life
5/8/2000
12/31/2000
Inactive
John Alden Life Insurance Company
300573
Agent - Health
1/29/2004
3/4/2005
Inactive
John Alden Life Insurance Company
300573
Agent - Life
1/29/2004
3/4/2005
Inactive
Lincoln Benefit Life Company
301110
Agent - Health
5/15/1998
5/6/2004
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
5/15/1998
5/6/2004
Inactive
Lincoln Benefit Life Company
301110
Agent - Variable Life and Variable Annuities
7/15/2002
1/28/2005
Inactive
Minnesota Life Insurance Company
300488
Agent - Life
3/10/2005
7/11/2005
Inactive
Minnesota Life Insurance Company
300488
Agent - Variable Life and Variable Annuities
3/10/2005
7/11/2005
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
2/3/2004
3/15/2005
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
2/14/2005
8/9/2005
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
2/14/2005
8/9/2005
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
3/11/2005
8/9/2005
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
2/14/2005
8/9/2005
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
3/11/2005
8/9/2005
Inactive
Paul Revere Life Insurance Company
300971
Agent - Health
4/16/1998
12/11/2002
Inactive
Paul Revere Life Insurance Company
300971
Agent - Life
4/16/1998
12/11/2002
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
4/16/1998
4/21/2004
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
4/16/1998
4/21/2004
Inactive
U.S. Financial Life Insurance Company
301812
Agent - Life
11/11/2004
6/29/2005
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
9/20/2001
4/21/2004
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
9/20/2001
4/21/2004
Inactive
Western and Southern Life Insurance Company
301744
Agent - Health
1/13/2004
2/4/2005
Inactive
Western and Southern Life Insurance Company
301744
Agent - Life
1/13/2004
2/4/2005
Inactive
Western-Southern Life Assurance Company
301590
Agent - Health
1/13/2004
2/4/2005
Inactive
Western-Southern Life Assurance Company
301590
Agent - Life
1/13/2004
2/4/2005
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
W & R Insurance Agency
398729
Agent - Life
2/15/2005
7/19/2005
Inactive
W & R Insurance Agency
398729
Agent - Health
2/15/2005
7/19/2005
Inactive
W & R Insurance Agency
398729
Agent - Variable Life and Variable Annuities
2/15/2005
7/19/2005
Inactive
Wagner & Associates Inc.
513965
Agent - Life
5/2/2001
1/12/2004
Inactive
Wagner & Associates Inc.
513965
Agent - Health
5/2/2001
1/12/2004
Inactive
Wagner & Associates Inc.
513965
Agent - Property
8/15/2000
5/11/2003
Inactive
Wagner & Associates Inc.
513965
Agent - Casualty
8/15/2000
5/11/2003
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