DEPARTMENT OF INSURANCE

Affiliations

Name	Wagner, David Allen	DOIID	590127	NAIC NPN	5249969

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/19/2006	3/31/2026
Active	Non Resident	Agent	Life	10/19/2006	3/31/2026
* 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 General Assurance Company	300586	Agent - Health	10/5/2004	3/31/2006
Inactive	American General Assurance Company	300586	Agent - Life	10/5/2004	3/31/2006
Active	American Heritage Life Insurance Company	300272	Agent - Health	10/1/2014
Active	American Heritage Life Insurance Company	300272	Agent - Life	10/1/2014
Active	Continental American Insurance Company	301700	Agent - Health	4/27/2007
Active	Continental American Insurance Company	301700	Agent - Life	4/27/2007
Inactive	HM Life Insurance Company	301408	Agent - Health	5/29/2007	12/29/2016
Inactive	HM Life Insurance Company	301408	Agent - Life	5/29/2007	12/29/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/28/2007	5/4/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/28/2007	5/4/2017
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	8/2/2024
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	8/2/2024
Active	ReliaStar Life Insurance Company	301712	Agent - Health	8/13/2009
Active	ReliaStar Life Insurance Company	301712	Agent - Life	8/13/2009
Active	Starmount Life Insurance Company	628031	Agent - Health	8/2/2024
Inactive	Trustmark Insurance Company	300317	Agent - Health	7/29/2009	3/2/2018
Inactive	Trustmark Insurance Company	300317	Agent - Life	7/29/2009	3/2/2018
Active	UNUM Life Insurance Company of America	300817	Agent - Health	8/2/2024
Active	UNUM Life Insurance Company of America	300817	Agent - Life	8/2/2024
Active	Unum Insurance Company	301499	Agent - Health	8/2/2024
Active	Unum Insurance Company	301499	Agent - Life	8/2/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Custom Benefit Programs Inc	630774	Agent - Health	3/11/2020
Active	Custom Benefit Programs Inc	630774	Agent - Life	3/11/2020