DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wall, Jane Ellen	DOIID	744653	NAIC NPN	6716710

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/17/2010	10/31/2016
Inactive	Non Resident	Agent	Life	7/11/2014	10/31/2016
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/7/2014	10/31/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	10/31/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	10/31/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/10/2012	10/31/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	10/31/2016
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	10/31/2016
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	5/19/2011	11/3/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/19/2011	10/31/2016
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/11/2016	10/31/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/19/2011	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/10/2015	10/31/2016

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 - Health	7/7/2014	10/31/2016
Inactive	Medicare Health Benefits Inc	810422	Agent - Health	5/17/2013	10/31/2016
Inactive	Medicare Health Benefits Inc	810422	Agent - Life	7/28/2014	10/31/2016