DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Waller, Christopher	DOIID	1365416	NAIC NPN	21012137

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/2/2024		7/31/2026
Active	Non Resident	Agent	Health	10/2/2024		7/31/2026
* 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	05/15/2026	07/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	2/18/2025
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/26/2024
Active	Humana Insurance Company	301104	Agent - Health	11/27/2024
Active	Humana Medical Plan, Inc.	801568	Agent - Health	2/10/2025
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/28/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Humana MarketPOINT Inc.	398092	Agent - Life
Active	Humana MarketPOINT Inc.	398092	Agent - Health	10/28/2024