DEPARTMENT OF INSURANCE

Affiliations

Name	Wagner, David Allen	DOIID	590127	NAIC NPN	5249969

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	10/19/2006	3/31/2026
Active	Non Resident	Agent	Life	10/19/2006	3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Assurance Company	300586	Agent - Health	10/5/2004	3/31/2006
Inactive	American General Assurance Company	300586	Agent - Life	10/5/2004	3/31/2006
Active	American Heritage Life Insurance Company	300272	Agent - Health	10/1/2014
Active	American Heritage Life Insurance Company	300272	Agent - Life	10/1/2014
Active	Continental American Insurance Company	301700	Agent - Health	4/27/2007
Active	Continental American Insurance Company	301700	Agent - Life	4/27/2007
Inactive	HM Life Insurance Company	301408	Agent - Health	5/29/2007	12/29/2016
Inactive	HM Life Insurance Company	301408	Agent - Life	5/29/2007	12/29/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/28/2007	5/4/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/28/2007	5/4/2017
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	8/2/2024
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	8/2/2024
Active	ReliaStar Life Insurance Company	301712	Agent - Health	8/13/2009
Active	ReliaStar Life Insurance Company	301712	Agent - Life	8/13/2009
Active	Starmount Life Insurance Company	628031	Agent - Health	8/2/2024
Inactive	Trustmark Insurance Company	300317	Agent - Health	7/29/2009	3/2/2018
Inactive	Trustmark Insurance Company	300317	Agent - Life	7/29/2009	3/2/2018
Active	UNUM Life Insurance Company of America	300817	Agent - Health	8/2/2024
Active	UNUM Life Insurance Company of America	300817	Agent - Life	8/2/2024
Active	Unum Insurance Company	301499	Agent - Health	8/2/2024
Active	Unum Insurance Company	301499	Agent - Life	8/2/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Custom Benefit Programs Inc	630774	Agent - Health	3/11/2020
Active	Custom Benefit Programs Inc	630774	Agent - Life	3/11/2020