DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Randy Wagner Ins Agency Inc	DOIID	980630	NAIC NPN	18655950

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/3/2018		3/31/2026
Active	Non Resident	Agent	Health	1/3/2018		3/31/2026
Active	Non Resident	Agent	Property	1/3/2018		3/31/2026
Active	Non Resident	Agent	Life	1/3/2018		3/31/2026
Denied	Non Resident	Agent	Personal Lines
* 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
Active	State Farm Fire and Casualty Company	301809	Agent - Casualty	1/26/2018
Active	State Farm Fire and Casualty Company	301809	Agent - Property	1/26/2018
Active	State Farm Life Insurance Company	301810	Agent - Life	1/26/2018
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	1/26/2018
Active	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	1/26/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Wagner, Randal Rupard	848965	Agent - Casualty	1/3/2018
Active	Wagner, Randal Rupard	848965	Agent - Health	1/3/2018
Active	Wagner, Randal Rupard	848965	Agent - Life	1/3/2018
Active	Wagner, Randal Rupard	848965	Agent - Property	1/3/2018