DEPARTMENT OF INSURANCE
Affiliations
NameWagner, Jacki DianaDOIID533998NAIC NPN5307002
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth7/30/20017/31/2010 
InactiveNon ResidentAgentVariable Life and Variable Annuities7/30/20017/31/2010 
InactiveNon ResidentAgentLife7/30/20017/31/2010 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFirst Colony Life Insurance Company301179Agent - Health4/29/20021/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life4/29/20027/19/2004
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health1/1/20074/3/2007
InactiveMinnesota Life Insurance Company300488Agent - Health5/10/20042/24/2010
InactiveMinnesota Life Insurance Company300488Agent - Life5/10/20042/24/2010
InactiveMinnesota Life Insurance Company300488Agent - Variable Life and Variable Annuities6/11/20042/24/2010
InactiveNationwide Life Insurance Company300495Agent - Health7/30/20012/9/2010
InactiveNationwide Life Insurance Company300495Agent - Life7/30/20012/9/2010
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities7/30/20012/9/2010
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life7/30/20012/9/2010
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities7/30/20012/9/2010
InactiveNorth American Company for Life and Health Insurance300291Agent - Life10/9/200210/22/2004
InactiveStandard Life and Accident Insurance Company301534Agent - Health8/22/20027/25/2007
InactiveStandard Life and Accident Insurance Company301534Agent - Life8/22/20027/25/2007
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveW & R Insurance Agency398729Agent - Life2/13/20041/19/2010
InactiveW & R Insurance Agency398729Agent - Health2/13/20041/19/2010
InactiveW & R Insurance Agency398729Agent - Variable Life and Variable Annuities1/22/20071/19/2010

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