DEPARTMENT OF INSURANCE
Affiliations
NameWilder, John DerekDOIID361208NAIC NPN1890192
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentLimited Line Credit8/7/20005/31/2005 
InactiveResidentAgentGeneral Lines8/31/19934/12/1996 
InactiveResidentAgentHealth3/31/19934/12/1996 
InactiveResidentAgentVariable Life and Variable Annuities5/31/20015/31/2005 
InactiveResidentAgentLife3/31/19935/31/2005 
InactiveResidentAgentCredit Life & Health2/7/19978/7/2000 
* 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
InactiveBanc One Kentucky Insurance Company300824Agent - Credit Life & Health2/7/19978/7/2000
InactiveBanc One Kentucky Insurance Company300824Agent - Limited Line Credit8/7/20006/9/2003
InactiveEverlake Life Insurance Company300873Agent - Life1/13/20032/7/2003
InactiveGlenbrook Life and Annuity Company301384Agent - Life4/12/19992/7/2003
InactiveGlenbrook Life and Annuity Company301384Agent - Variable Life and Variable Annuities3/31/20012/7/2003
InactiveJackson National Life Insurance Company300486Agent - Life10/3/20032/2/2005
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities10/3/20032/2/2005
InactiveKeyport Life Insurance Company300319Agent - Life10/10/20003/11/2003
InactiveLM General Insurance Company300133Agent - General Lines8/31/19934/12/1996
InactiveLM Property and Casualty Insurance Company301658Agent - General Lines8/31/19934/12/1996
InactiveLife Investors Insurance Company of America301793Agent - Life8/23/19963/24/2003
InactiveNationwide Life Insurance Company300495Agent - Life10/6/200312/16/2004
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life10/6/200312/16/2004
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities3/12/20013/28/2003
InactivePacific Life Insurance Company301848Agent - Life10/24/20035/31/2005
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities10/24/20035/31/2005
InactivePruco Life Insurance Company300954Agent - Life3/31/19934/12/1996
InactivePrudential Insurance Company of America300784Agent - Health3/31/19934/12/1996
InactivePrudential Insurance Company of America300784Agent - Life3/31/19934/12/1996
InactiveTalcott Resolution Life Insurance Company301759Agent - Life10/23/20033/23/2005
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities10/23/20033/23/2005
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life10/23/20033/23/2005
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities10/23/20033/23/2005
InactiveTransamerica Life Insurance Company300571Agent - Life2/18/19993/24/2003
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities4/10/20013/24/2003
InactiveVenerable Insurance and Annuity Company301006Agent - Life11/3/20048/23/2005
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities11/3/20048/23/2005
InactiveWestern National Life Insurance Company300461Agent - Life9/30/20031/28/2005
InactiveWestern National Life Insurance Company300461Agent - Variable Life and Variable Annuities 7/23/2003
InactiveWestern-Southern Life Assurance Company301590Agent - Life9/30/20031/27/2005
InactiveWestern-Southern Life Assurance Company301590Agent - Variable Life and Variable Annuities9/30/20031/27/2005
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFifth Third Insurance Agency Inc399341Agent - Life4/27/20045/31/2005
InactiveFifth Third Insurance Agency Inc399341Agent - Variable Life and Variable Annuities4/27/20045/31/2005

© Commonwealth of Kentucky. All rights reserved.