DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wallace, Andrew Patrick	DOIID	1278755	NAIC NPN	15653997

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/7/2023		12/31/2025
Active	Non Resident	Agent	Health	6/7/2023		12/31/2025
* 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	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	All Savers Insurance Company	301940	Agent - Health	10/2/2023
Active	All Savers Insurance Company	301940	Agent - Life	10/2/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	10/2/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	10/2/2023
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/2/2023
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/2/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Higginbotham Insurance Agency, Inc.	515372	Agent - Life	10/2/2023
Active	Higginbotham Insurance Agency, Inc.	515372	Agent - Health	10/2/2023