A Secure Online Service from Utah.gov

Utah.gov

Insurance Company and Agent Search

Utah Insurance Department

Details for WALLER, SHANE JAREN

Agent Details
Name
WALLER, SHANE JAREN 
Address
5255 N. EDGWOOD DR SUITE 350 PROVO, UT 84604 
Business Phone
(801) 362-2963 
Internet
 
Email
shane.waller@nm.com  
Status
Active 
Issue Date
Feb 07, 2019 
License Status Expires Number
Resident Producer Active Jan 31, 2023 428359
      Accident and Hlth or Sickness Active Issued: Aug 09, 2018
      Life Active Issued: Oct 19, 2012
      Variable Life/Variable Annuity Active Issued: Aug 09, 2018
      Accident & Health Inactive Issued: Jul 25, 2013
      Variable Contracts Inactive Issued: Jan 16, 2013
Agency Affiliations City State License Number Active Date Status
No records found.
Company Affiliations City State Type Active Date
BANNER LIFE INSURANCE COMPANY FREDERICK MD Life Feb 21, 2019
BERKSHIRE LIFE INSURANCE COMPANY OF AMERICA PITTSFIELD MA Life, Accident and Hlth or Sickness Jul 28, 2020
GUARDIAN INSURANCE & ANNUITY COMPANY, INC., THE NEW YORK NY Life Jul 28, 2020
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA, THE NEW YORK NY Life, Accident and Hlth or Sickness Jul 28, 2020
JOHN HANCOCK LIFE INSURANCE COMPANY (USA) BOSTON MA Life, Accident and Hlth or Sickness Mar 29, 2019
LINCOLN NATIONAL LIFE INSURANCE COMPANY, THE GREENSBORO NC Life, Variable Life/Variable Annuity, Accident and Hlth or Sickness Mar 27, 2019
NORTHWESTERN LONG TERM CARE INSURANCE COMPANY MILWAUKEE WI Accident and Hlth or Sickness Jan 22, 2021
NORTHWESTERN MUTUAL LIFE INSURANCE COMPANY, THE MILWAUKEE WI Life, Variable Life/Variable Annuity, Accident and Hlth or Sickness Jan 22, 2021
PRINCIPAL NATIONAL LIFE INSURANCE COMPANY DES MOINES IA Life Dec 06, 2019
PROTECTIVE LIFE INSURANCE COMPANY BIRMINGHAM AL Life, Variable Life/Variable Annuity, Accident and Hlth or Sickness Sep 15, 2019
PRUCO LIFE INSURANCE COMPANY NEWARK NJ Life May 02, 2019