DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wagner, Jamie L	DOIID	893507	NAIC NPN	17717082

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	9/29/2015	11/30/2019
Inactive	Non Resident	Agent	Property	9/29/2015	11/30/2019
* 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 Family Home Insurance Company	301817	Agent - Casualty	10/1/2015	4/17/2018
Inactive	American Family Home Insurance Company	301817	Agent - Property	10/1/2015	4/17/2018
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/1/2015	4/17/2018
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/1/2015	4/17/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	10/1/2015	4/17/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Property	10/1/2015	4/17/2018
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	10/1/2015	4/17/2018
Inactive	American Southern Home Insurance Company	626276	Agent - Property	10/1/2015	4/17/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Atlas Ins Agcy Inc	523813	Agent - Property	10/7/2015	4/17/2018
Inactive	Atlas Ins Agcy Inc	523813	Agent - Casualty	10/7/2015	4/17/2018