DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wagner, Adam M	DOIID	974465	NAIC NPN	18541607

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	10/25/2017		4/30/2025
Active	Non Resident	Agent	Casualty	10/25/2017		4/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	7/9/2019	5/19/2021
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	7/9/2019	5/19/2021
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	8/8/2018	11/7/2022
Inactive	Ohio Security Insurance Company	300622	Agent - Property	8/8/2018	11/7/2022
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/17/2018	11/14/2022
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/17/2018	11/14/2022
Inactive	United Financial Casualty Company	301886	Agent - Casualty	11/28/2017	1/23/2023
Inactive	United Financial Casualty Company	301886	Agent - Property	11/28/2017	1/23/2023
Inactive	Wellfleet Insurance Company	300542	Agent - Casualty	8/11/2020	4/20/2021
Inactive	Wellfleet New York Insurance Company	300245	Agent - Casualty	8/11/2020	4/20/2021
Inactive	Wellfleet New York Insurance Company	300245	Agent - Property	8/11/2020	4/20/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mylo LLC	973654	Agent - Casualty	4/6/2018	1/23/2023
Inactive	Mylo LLC	973654	Agent - Property	4/6/2018	1/23/2023