DEPARTMENT OF INSURANCE
Affiliations
NameWallace, Jeffrey ScottDOIID732271NAIC NPN5940831
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth10/28/2021 5/31/2027
ActiveNon ResidentAgentLife10/28/2021 5/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent03/15/202505/31/202506/05/202506/05/2025Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAll Savers Insurance Company301940Agent - Health9/26/2022 
ActiveAll Savers Insurance Company301940Agent - Life9/26/2022 
ActiveAllianz Life Insurance Company of North America301791Agent - Life2/2/2023 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health8/15/2024 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health8/15/2024 
InactiveAnthem Life Insurance Company301209Agent - Health5/8/202012/10/2020
InactiveAnthem Life Insurance Company301209Agent - Life8/15/20244/15/2025
InactiveBoston Mutual Life Insurance Company300143Agent - Health11/11/20135/31/2017
InactiveBoston Mutual Life Insurance Company300143Agent - Life11/11/20135/31/2017
InactiveColonial Life and Accident Insurance Company300846Agent - Health6/14/20115/31/2017
InactiveColonial Life and Accident Insurance Company300846Agent - Life6/14/20115/31/2017
InactiveCombined Insurance Company of America301472Agent - Health6/16/20145/31/2017
InactiveCombined Insurance Company of America301472Agent - Life6/16/20145/31/2017
InactiveCompBenefits Dental, Inc.591692Agent - Health8/19/20107/6/2012
InactiveDental Concern Inc. (The)301641Agent - Health11/10/202112/13/2022
InactiveHumana Health Plan, Inc.300142Agent - Health11/10/202112/13/2022
InactiveHumana Insurance Company301104Agent - Health11/10/202112/13/2022
InactiveHumana Insurance Company301104Agent - Life8/19/20107/6/2012
InactiveHumana Insurance Company of Kentucky300826Agent - Health11/10/202112/13/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Life11/10/202112/13/2022
InactiveHumanaDental Insurance Company301457Agent - Health8/19/20102/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life8/19/20102/23/2012
InactiveKanawha Insurance Company300127Agent - Health8/19/20107/6/2012
InactiveKanawha Insurance Company300127Agent - Life8/19/20107/6/2012
InactiveUnitedHealthcare Insurance Company300946Agent - Health3/7/202212/17/2024
InactiveUnitedHealthcare Insurance Company300946Agent - Life3/7/202212/17/2024
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/7/2022 
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/7/202212/17/2024
ActiveWellpoint Life and Health Insurance Company300469Agent - Health8/15/2024 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life2/21/202012/11/2020
InactiveDesignated Agent Company Inc.681257Agent - Health2/21/202012/11/2020

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