DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wall, Brien Thomas	DOIID	1125046	NAIC NPN	18531303

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/17/2021	3/31/2024
Inactive	Non Resident	Agent	Life	3/17/2021	3/31/2024
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/5/2023	3/31/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	6/5/2023	3/31/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/5/2023	3/31/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/5/2023	3/31/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/5/2023	3/31/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	6/5/2023	3/31/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/17/2021	5/31/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/17/2021	5/31/2024
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/17/2021	5/31/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/17/2021	5/31/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Towers Watson Midwest, Inc.	534348	Agent - Life	3/17/2021	9/23/2022
Inactive	Willis Towers Watson Midwest, Inc.	534348	Agent - Health	3/17/2021	9/23/2022