DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wagner, James Miller	DOIID	350251	NAIC NPN	7191544

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	2/28/2005	6/30/2021
* 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	Cincinnati Equitable Life Insurance Company	641870	Agent - Life	7/26/2010	6/24/2021
Inactive	Columbian Life Insurance Company	300810	Agent - Life	9/10/2008	8/26/2011
Inactive	Forethought Life Insurance Company	301407	Agent - Life	5/6/1994	6/17/2004
Inactive	Kentucky Funeral Directors Life Insurance Company	532905	Agent - Life	2/28/2005	11/13/2007
Inactive	Lincoln Memorial Life Insurance Company	300463	Agent - Life	9/20/2007	4/28/2009
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	6/3/2008	12/29/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bosse Funeral Home Inc	400021	Agent - Life	12/11/2017	6/30/2021