DEPARTMENT OF INSURANCE

Affiliations

Name	Wallace, Javanne Gerald	DOIID	1217897	NAIC NPN	20396656

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/20/2022		1/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2026	01/31/2027

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	9/21/2022	4/2/2026
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/21/2022	4/2/2026
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/21/2022	4/2/2026
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/10/2024	8/21/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	8/16/2023	2/6/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/10/2024	8/21/2025
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/21/2022	1/12/2023
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	10/1/2025	3/27/2026
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/10/2024	8/21/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	10/4/2024
Inactive	Humana Insurance Company	301104	Agent - Health	3/11/2025	8/21/2025
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/22/2022	1/12/2023
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/17/2025
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	8/8/2026
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	11/9/2024	8/21/2025
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/21/2022	4/2/2026
Active	United National Life Insurance Company	844837	Agent - Health	5/7/2026
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/1/2025	3/27/2026
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/1/2025	3/27/2026
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/15/2022	2/28/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	10/14/2022	1/31/2023
Inactive	Togetherhealth Insurance LLC	1026438	Agent - Health	11/14/2022	1/24/2023