PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameWagner, Thomas AdamDOIID664045NAIC NPN8641295
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentPersonal Lines12/4/20171/31/2024 
InactiveNon ResidentAgentLife12/4/20171/31/2024 
InactiveNon ResidentAgentHealth12/4/20171/31/2024 
InactiveNon ResidentAgentCasualty12/4/20171/31/2024 
InactiveNon ResidentAgentProperty12/4/20171/31/2024 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health8/15/201912/10/2020
InactiveAnthem Life Insurance Company301209Agent - Health8/15/201912/10/2020
InactiveAnthem Life Insurance Company301209Agent - Life8/15/201912/10/2020
InactiveHumana Health Plan, Inc.300142Agent - Health12/12/20174/20/2018
InactiveHumana Insurance Company301104Agent - Health12/12/20174/20/2018
InactiveHumana Insurance Company301104Agent - Life12/12/20174/20/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health12/12/20174/20/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life12/12/20174/20/2018
InactiveUnitedHealthcare Insurance Company300946Agent - Health2/5/20204/4/2022
InactiveUnitedHealthcare Insurance Company300946Agent - Life2/5/20204/4/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health2/5/20204/4/2022
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health2/5/20204/4/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcrisure LLC696181Agent - Life10/27/20204/4/2022
InactiveAcrisure LLC696181Agent - Health10/27/20204/4/2022
DeniedAcrisure LLC696181Agent - Casualty  
DeniedAcrisure LLC696181Agent - Property  
DeniedAcrisure LLC696181Agent - Personal Lines  
InactiveDesignated Agent Company Inc.681257Agent - Life8/15/201912/14/2020
InactiveDesignated Agent Company Inc.681257Agent - Health8/15/201912/14/2020
InactiveEchelon Advisors, LLC1090405Agent - Life7/23/20201/31/2024
InactiveEchelon Advisors, LLC1090405Agent - Health7/23/20201/31/2024
InactiveEchelon Advisors, LLC1090405Agent - Casualty7/23/20201/31/2024
InactiveEchelon Advisors, LLC1090405Agent - Property7/23/20201/31/2024
InactiveEchelon Advisors, LLC1090405Agent - Personal Lines7/23/20201/31/2024

© Commonwealth of Kentucky. All rights reserved.