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DEPARTMENT OF INSURANCE
Affiliations
Name
Wallace, Jeffrey Scott
DOIID
732271
NAIC NPN
5940831
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Health
10/28/2021
5/31/2027
Active
Non Resident
Agent
Life
10/28/2021
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
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
03/15/2025
05/31/2025
06/05/2025
06/05/2025
Yes
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
9/26/2022
Active
All Savers Insurance Company
301940
Agent - Life
9/26/2022
Active
Allianz Life Insurance Company of North America
301791
Agent - Life
2/2/2023
Active
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
8/15/2024
Active
Anthem Insurance Companies, Inc.
300941
Agent - Health
8/15/2024
Inactive
Anthem Life Insurance Company
301209
Agent - Health
5/8/2020
12/10/2020
Inactive
Anthem Life Insurance Company
301209
Agent - Life
8/15/2024
4/15/2025
Inactive
Boston Mutual Life Insurance Company
300143
Agent - Health
11/11/2013
5/31/2017
Inactive
Boston Mutual Life Insurance Company
300143
Agent - Life
11/11/2013
5/31/2017
Inactive
Colonial Life and Accident Insurance Company
300846
Agent - Health
6/14/2011
5/31/2017
Inactive
Colonial Life and Accident Insurance Company
300846
Agent - Life
6/14/2011
5/31/2017
Inactive
Combined Insurance Company of America
301472
Agent - Health
6/16/2014
5/31/2017
Inactive
Combined Insurance Company of America
301472
Agent - Life
6/16/2014
5/31/2017
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
8/19/2010
7/6/2012
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
11/10/2021
12/13/2022
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
11/10/2021
12/13/2022
Inactive
Humana Insurance Company
301104
Agent - Health
11/10/2021
12/13/2022
Inactive
Humana Insurance Company
301104
Agent - Life
8/19/2010
7/6/2012
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
11/10/2021
12/13/2022
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
11/10/2021
12/13/2022
Inactive
HumanaDental Insurance Company
301457
Agent - Health
8/19/2010
2/23/2012
Inactive
HumanaDental Insurance Company
301457
Agent - Life
8/19/2010
2/23/2012
Inactive
Kanawha Insurance Company
300127
Agent - Health
8/19/2010
7/6/2012
Inactive
Kanawha Insurance Company
300127
Agent - Life
8/19/2010
7/6/2012
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
3/7/2022
12/17/2024
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
3/7/2022
12/17/2024
Active
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
3/7/2022
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
3/7/2022
12/17/2024
Active
Wellpoint Life and Health Insurance Company
300469
Agent - Health
8/15/2024
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Designated Agent Company Inc.
681257
Agent - Life
2/21/2020
12/11/2020
Inactive
Designated Agent Company Inc.
681257
Agent - Health
2/21/2020
12/11/2020
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