DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wagner, Robert Lee	DOIID	969414	NAIC NPN	15720463

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	12/7/2018	9/30/2019
Inactive	Non Resident	Agent	Casualty	12/7/2018	9/30/2019
Inactive	Non Resident	Agent	Health	9/25/2017	9/30/2019
* 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	Arcadian Health Plan, Inc.	728196	Agent - Health	10/23/2017	5/10/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2017	5/10/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/13/2017	5/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	10/13/2017	5/10/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2017	5/10/2018
Inactive	Permanent General Assurance Corporation of Ohio	709250	Agent - Casualty	12/10/2018	2/6/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	General Automobile Ins Services Inc	706632	Agent - Casualty	12/10/2018	2/6/2019