DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wallace, Jane Gray	DOIID	1065497	NAIC NPN	19309194

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/16/2019	5/31/2023
Inactive	Non Resident	Agent	Life	11/16/2019	5/31/2023
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

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	10/10/2020	5/31/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/10/2020	5/31/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/10/2020	5/31/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/1/2020	5/12/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/1/2020	5/12/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/1/2020	5/12/2021
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/9/2020	12/13/2022
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	11/18/2019	2/12/2020
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	11/18/2019	2/12/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/10/2020	5/31/2023
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/7/2020	12/30/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/7/2020	12/31/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	11/18/2019	2/12/2020
Inactive	Ushealth Advisors Llc	713288	Agent - Health	11/18/2019	2/12/2020