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DEPARTMENT OF INSURANCE
Affiliations
Name
Wiesemann, Michael Wayne
DOIID
629185
NAIC NPN
7918766
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
3/30/2006
5/31/2016
Inactive
Non Resident
Agent
Health
3/30/2006
5/31/2016
Inactive
Non Resident
Agent
Life
3/30/2006
5/31/2016
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Aetna Health Inc. (PA)
660717
Agent - Health
12/8/2011
5/31/2016
Inactive
Aetna Health Insurance Company
301583
Agent - Health
8/19/2014
5/31/2016
Inactive
Aetna Life Insurance Company
301140
Agent - Health
12/8/2011
5/31/2016
Inactive
Aetna Life Insurance Company
301140
Agent - Life
12/8/2011
5/31/2016
Inactive
American Continental Insurance Company
643130
Agent - Health
6/28/2010
11/12/2014
Inactive
American Continental Insurance Company
643130
Agent - Life
6/28/2010
11/12/2014
Inactive
American Equity Investment Life Insurance Company
300389
Agent - Life
12/14/2012
11/24/2014
Inactive
American National Life Insurance Company of Texas
300912
Agent - Health
6/13/2008
2/11/2010
Inactive
American National Life Insurance Company of Texas
300912
Agent - Life
6/13/2008
2/11/2010
Inactive
American Pioneer Life Insurance Company
301782
Agent - Health
10/17/2011
9/13/2012
Inactive
American Pioneer Life Insurance Company
301782
Agent - Life
10/17/2011
9/13/2012
Inactive
Athene Annuity & Life Assurance Company
301798
Agent - Life
1/3/2013
8/10/2015
Inactive
Athene Annuity and Life Company
301893
Agent - Life
2/22/2010
1/5/2016
Inactive
CIGNA Health & Life Insurance Company
301783
Agent - Health
5/12/2014
5/31/2016
Inactive
CIGNA Health & Life Insurance Company
301783
Agent - Life
5/12/2014
5/31/2016
Inactive
Cincinnati Life Insurance Company (The)
300601
Agent - Health
10/6/2010
5/17/2016
Inactive
Cincinnati Life Insurance Company (The)
300601
Agent - Life
10/6/2010
5/17/2016
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
3/5/2010
12/8/2015
Inactive
CompBenefits Insurance Company
301864
Agent - Health
3/5/2010
7/2/2013
Inactive
CompBenefits Insurance Company
301864
Agent - Life
3/5/2010
7/2/2013
Inactive
Coventry Health and Life Insurance Company
301771
Agent - Health
9/17/2014
5/31/2016
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
3/5/2010
12/8/2015
Inactive
EquiTrust Life Insurance Company
502870
Agent - Life
4/25/2013
5/31/2016
Inactive
Family Life Insurance Company
300356
Agent - Health
8/13/2012
12/28/2012
Inactive
First Health Life & Health Insurance Company
301735
Agent - Health
7/20/2011
5/31/2016
Inactive
Gerber Life Insurance Company
300529
Agent - Health
5/5/2010
12/26/2012
Inactive
Gerber Life Insurance Company
300529
Agent - Life
5/5/2010
12/26/2012
Inactive
Golden Rule Insurance Company
301943
Agent - Health
5/4/2012
6/10/2016
Inactive
Golden Rule Insurance Company
301943
Agent - Life
5/4/2012
6/10/2016
Inactive
Guarantee Trust Life Insurance Company
301043
Agent - Health
3/21/2012
5/31/2016
Inactive
Guarantee Trust Life Insurance Company
301043
Agent - Life
3/21/2012
5/31/2016
Inactive
Humana Benefit Plan of Illinois, Inc.
781543
Agent - Health
10/13/2014
12/8/2015
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
3/5/2010
12/8/2015
Inactive
Humana Insurance Company
301104
Agent - Health
3/5/2010
5/31/2016
Inactive
Humana Insurance Company
301104
Agent - Life
3/5/2010
5/31/2016
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
3/5/2010
12/8/2015
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
3/5/2010
12/8/2015
Inactive
HumanaDental Insurance Company
301457
Agent - Health
3/5/2010
2/23/2012
Inactive
HumanaDental Insurance Company
301457
Agent - Life
3/5/2010
2/23/2012
Inactive
Independent Order of Foresters
300743
Agent - Life
2/12/2010
5/31/2016
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
6/30/2008
8/16/2011
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
6/30/2008
8/16/2011
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
6/30/2008
8/16/2011
Inactive
Marquette National Life Insurance Company
300117
Agent - Health
10/17/2011
9/13/2012
Inactive
Marquette National Life Insurance Company
300117
Agent - Life
10/17/2011
9/13/2012
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Life
11/2/2012
7/29/2014
Inactive
Medico Insurance Company
301559
Agent - Health
2/18/2012
7/13/2016
Inactive
Medico Insurance Company
301559
Agent - Life
2/18/2012
7/13/2016
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
4/19/2006
5/8/2008
Inactive
Nassau Life Insurance Company of Kansas
300667
Agent - Health
10/17/2011
12/13/2012
Inactive
Nassau Life Insurance Company of Kansas
300667
Agent - Life
10/17/2011
12/13/2012
Inactive
United World Life Insurance Company
300532
Agent - Health
4/19/2006
5/8/2008
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
4/19/2006
5/8/2008
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
4/19/2006
5/8/2008
Inactive
United of Omaha Life Insurance Company
300156
Agent - Variable Life and Variable Annuities
4/19/2006
5/8/2008
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
10/30/2011
7/25/2016
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
10/30/2011
7/25/2016
Inactive
UnitedHealthcare of Wisconsin, Inc.
871491
Agent - Health
9/11/2015
7/25/2016
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Designated Agent Company Inc.
681257
Agent - Life
12/9/2013
5/31/2016
Inactive
Designated Agent Company Inc.
681257
Agent - Health
12/9/2013
5/31/2016
Inactive
Fundamental Insurance and Retirement Planning
675147
Agent - Life
12/23/2009
5/31/2016
Inactive
Fundamental Insurance and Retirement Planning
675147
Agent - Health
12/23/2009
5/31/2016
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