DEPARTMENT OF INSURANCE
Affiliations
NameWisted, Daniel JayDOIID358530NAIC NPN1393278
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentVariable Life and Variable Annuities5/31/2001 2/28/2027
ActiveNon ResidentAgentHealth11/12/1998 2/28/2027
ActiveNon ResidentAgentLife11/12/1998 2/28/2027
* 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
Agent12/15/202602/28/2027   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBerkshire Life Insurance Company of America300983Agent - Health8/8/201210/5/2021
InactiveBerkshire Life Insurance Company of America300983Agent - Life8/8/201210/5/2021
ActiveC.M. Life Insurance Company301335Agent - Health3/27/2008 
ActiveC.M. Life Insurance Company301335Agent - Life3/27/2008 
ActiveMassachusetts Mutual Life Insurance Company300445Agent - Health3/20/2000 
ActiveMassachusetts Mutual Life Insurance Company300445Agent - Life3/20/2000 
InactiveMedAmerica Insurance Company301568Agent - Health6/11/201311/11/2014
ActiveMetropolitan Life Insurance Company301948Agent - Health9/8/2008 
ActiveMetropolitan Life Insurance Company301948Agent - Life9/8/2008 
ActiveNorthwestern Long Term Care Insurance Company300135Agent - Health1/23/2004 
ActiveNorthwestern Mutual Life Insurance Company300931Agent - Health11/12/1998 
ActiveNorthwestern Mutual Life Insurance Company300931Agent - Life11/12/1998 
ActiveNorthwestern Mutual Life Insurance Company300931Agent - Variable Life and Variable Annuities5/31/2001 
InactivePaul Revere Life Insurance Company300971Agent - Health8/12/199911/10/2004
InactivePaul Revere Life Insurance Company300971Agent - Life8/12/199911/10/2004
ActiveProvident Life and Accident Insurance Company301525Agent - Health8/12/1999 
ActiveProvident Life and Accident Insurance Company301525Agent - Life8/12/1999 
ActiveUNUM Life Insurance Company of America300817Agent - Health8/25/1999 
ActiveUNUM Life Insurance Company of America300817Agent - Life8/25/1999 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveDigital Insurance LLC521672Agent - Life10/12/2026 
ActiveDigital Insurance LLC521672Agent - Health10/12/2026 

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