DEPARTMENT OF INSURANCE
Affiliations
NameWiedmeyer Jr, David WiedmeyerDOIID1071109NAIC NPN17841598
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentProperty3/10/2021 4/30/2026
ActiveResidentAgentHealth8/27/2021 4/30/2026
ActiveResidentAgentVariable Life and Variable Annuities1/22/2020 4/30/2026
ActiveResidentAgentCasualty3/10/2021 4/30/2026
ActiveResidentAgentLife1/22/2020 4/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life8/3/20232/15/2024
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities8/3/20232/15/2024
InactiveJackson National Life Insurance Company300486Agent - Life4/6/20203/22/2024
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities4/6/20203/22/2024
InactiveLiberty Mutual Insurance Company301159Agent - Casualty9/3/20219/26/2024
InactiveLiberty Mutual Insurance Company301159Agent - Property9/3/20219/26/2024
ActiveProtective Life Insurance Company300638Agent - Health12/20/2023 
ActiveProtective Life Insurance Company300638Agent - Life12/20/2023 
ActiveProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities12/20/2023 
InactivePruco Life Insurance Company300954Agent - Life1/23/20202/15/2024
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities1/23/20202/15/2024
InactivePrudential Insurance Company of America300784Agent - Life1/23/20202/15/2024
InactivePrudential Insurance Company of America300784Agent - Variable Life and Variable Annuities1/23/20202/15/2024
InactiveStandard Insurance Company300185Agent - Health5/24/202212/5/2022
InactiveStandard Insurance Company300185Agent - Life5/24/202212/5/2022
InactiveStandard Insurance Company300185Agent - Variable Life and Variable Annuities5/24/202212/5/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActivePrudential Insurance Agency LLC620187Agent - Life9/28/2021 
ActivePrudential Insurance Agency LLC620187Agent - Variable Life and Variable Annuities9/28/2021 
InactivePrudential Insurance Agency LLC620187Agent - Casualty9/28/20219/26/2024
InactivePrudential Insurance Agency LLC620187Agent - Property9/28/20219/26/2024
ActivePrudential Insurance Agency LLC620187Agent - Health2/22/2024 

© Commonwealth of Kentucky. All rights reserved.