DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wallace, Kelly	DOIID	1105375	NAIC NPN	16462733

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	10/15/2020		12/31/2025
* 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
Active	Accendo Insurance Company	300312	Agent - Health	10/16/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	6/29/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/8/2021
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	11/21/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/29/2021
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/21/2022
Active	Humana Medical Plan, Inc.	801568	Agent - Health	11/21/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Health	7/13/2021	10/31/2022
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/8/2020	1/23/2023
Inactive	United World Life Insurance Company	300532	Agent - Health	12/8/2020	1/23/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/8/2020	1/23/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	3/21/2022	4/16/2024
Active	Trubridge Inc	717747	Agent - Health	3/25/2024