DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wallace, Charee Monique	DOIID	1306180	NAIC NPN	20312026

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/20/2023		1/31/2027
Active	Non Resident	Agent	Health	10/20/2023		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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	11/2/2023	3/24/2026
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	11/2/2023	3/24/2026
Inactive	CMFG Life Insurance Company	300929	Agent - Life	2/23/2024	5/11/2026
Inactive	Tier One Insurance Company	301056	Agent - Life	11/9/2023	3/16/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sutherland Global Services Inc	601788	Agent - Life	11/2/2023	5/11/2026
Inactive	Sutherland Global Services Inc	601788	Agent - Health	11/2/2023	3/24/2026