DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wagner, Dena M	DOIID	904773	NAIC NPN	17757742

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	1/26/2016	4/30/2017
Inactive	Non Resident	Agent	Casualty	1/26/2016	4/30/2017
Inactive	Non Resident	Agent	Health	1/26/2016	4/30/2017
* 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	AMEX Assurance Company	301728	Agent - Casualty	2/12/2016	11/7/2016
Inactive	AMEX Assurance Company	301728	Agent - Health	2/12/2016	11/7/2016
Inactive	AMEX Assurance Company	301728	Agent - Property	2/12/2016	11/7/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alorica Customer Care, Inc.	800938	Agent - Casualty	3/30/2016	11/7/2016
Inactive	Alorica Customer Care, Inc.	800938	Agent - Property	3/30/2016	11/7/2016
Inactive	Alorica Customer Care, Inc.	800938	Agent - Health	3/30/2016	11/7/2016