DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wagner, Tanner	DOIID	1282290	NAIC NPN	17215725

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/27/2023		4/30/2026
Active	Non Resident	Agent	Life	6/27/2023		4/30/2026
Active	Non Resident	Agent	Health	6/27/2023		4/30/2026
Active	Non Resident	Agent	Property	6/27/2023		4/30/2026
* 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	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Pruco Life Insurance Company	300954	Agent - Life	7/26/2023	12/23/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Acrisure Great Lakes Partners Insurance Services LLC	1271471	Agent - Health
Denied	Acrisure Great Lakes Partners Insurance Services LLC	1271471	Agent - Casualty
Denied	Acrisure Great Lakes Partners Insurance Services LLC	1271471	Agent - Life
Denied	Acrisure Great Lakes Partners Insurance Services LLC	1271471	Agent - Property
Denied	Acrisure LLC	696181	Agent - Health
Denied	Acrisure LLC	696181	Agent - Casualty
Inactive	Acrisure LLC	696181	Agent - Life	7/26/2023	12/23/2024
Denied	Acrisure LLC	696181	Agent - Property