black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

DANIEL JAY WISTED

PRODUCER NON-RESIDENT

License Number:
PRN65361
Status:
First Licensure:
10/18/1999
Cancel Date:
None

Mailing:
ALPHARETTA, GA 30005
Phone:
+1 (678) 624-7037
Fax:
+1 (678) 624-7044

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/18/1999

Agency

Name Issue Date License Number Expiration Date Cancel Date
DIGITAL INSURANCE LLC
01/16/2025 AGN76969

Employer

Name Issue Date License Number Expiration Date Cancel Date
BERKSHIRE LIFE INSURANCE COMPANY OF AMERICA
05/16/2013 LHF804 09/30/2021
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY
01/01/2000 LHF17
METROPOLITAN LIFE INSURANCE COMPANY
12/04/2009 LHF380
NORTHWESTERN LONG TERM CARE INSURANCE COMPANY
03/01/2004 LHF83918
NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY
10/28/1999 LHF21
THE PAUL REVERE LIFE INSURANCE COMPANY
11/05/1999 LHF240 09/27/2004
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
11/05/1999 LHF250
UNUM LIFE INSURANCE COMPANY OF AMERICA
11/05/1999 LHD145 03/29/2007
UNUM LIFE INSURANCE COMPANY OF AMERICA
04/06/2007 LHD145

Authority

Description Issue Date Termination Date Status
HEALTH 10/18/1999 Active
LIFE 10/18/1999 Active
VARIABLE CONTRACTS 10/18/1999 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
1393278

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 05/23/2025 06:08:17 PM