DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wallace Hart LLC	DOIID	1231456	NAIC NPN	20469744

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	6/11/2024		3/31/2026
* 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	Clear Spring Life and Annuity Company	300919	Agent - Life	12/25/2023	1/11/2024
Inactive	Standard Insurance Company	300185	Agent - Life	2/12/2024	3/31/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hart, Michael Andrew	785429	Agent - Life	6/11/2024	8/1/2024
Active	Wallace, Jeremy Nathan	509245	Agent - Life	10/17/2024