DEPARTMENT OF INSURANCE
Affiliations
NameWaller, Theresa DOIID767581NAIC NPN10366260
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth10/2/2018 9/30/2027
ActiveNon ResidentAgentLife10/2/2018 9/30/2027
InactiveNon ResidentAgentPersonal Lines8/6/20149/30/2015 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health2/6/2025 
ActiveAetna Health of Ohio Inc.1065035Agent - Health2/5/2025 
ActiveAetna Life Insurance Company301140Agent - Health2/5/2025 
InactiveAetna Life Insurance Company301140Agent - Life10/31/20189/18/2024
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health4/15/20257/29/2025
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health5/17/202212/19/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health5/17/20227/29/2025
InactiveAnthem Life Insurance Company301209Agent - Health5/11/20224/14/2025
InactiveAnthem Life Insurance Company301209Agent - Life5/11/20224/14/2025
InactiveArcadian Health Plan, Inc.728196Agent - Health10/23/201912/12/2024
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/20221/9/2025
InactiveCompcare Health Services Insurance Corporation948751Agent - Health4/15/20257/29/2025
InactiveDental Concern Inc. (The)301641Agent - Health1/22/20199/10/2019
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health9/3/2024 
InactiveEverlake Life Insurance Company300873Agent - Health4/18/20129/30/2013
InactiveEverlake Life Insurance Company300873Agent - Life4/18/20129/30/2013
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Personal Lines8/18/20146/23/2015
InactiveFarmers Property and Casualty Insurance Company301237Agent - Personal Lines8/18/20146/23/2015
InactiveFirst Health Life & Health Insurance Company301735Agent - Health10/31/20189/18/2024
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health1/17/20199/10/2019
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health1/22/20199/10/2019
InactiveHumana Health Plan, Inc.300142Agent - Health1/22/20199/10/2019
InactiveHumana Insurance Company301104Agent - Health10/23/201912/12/2024
InactiveHumana Insurance Company301104Agent - Life1/22/20199/10/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Health1/22/20199/10/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Life1/22/20199/10/2019
InactiveHumana Medical Plan, Inc.801568Agent - Health1/8/202012/12/2024
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health11/14/201912/15/2020
InactiveLincoln Benefit Life Company301110Agent - Health4/18/20129/30/2013
InactiveLincoln Benefit Life Company301110Agent - Life4/18/20129/30/2013
InactiveSierra Health and Life Insurance Company Inc.300357Agent - Health10/21/20241/9/2025
ActiveSilverScript Insurance Company663526Agent - Health2/5/2025 
InactiveUnitedHealthcare Insurance Company300946Agent - Health2/25/20201/9/2025
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health2/25/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health2/25/202012/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health2/25/20201/9/2025
InactiveUnitrin Direct Property & Casualty Company637443Agent - Personal Lines12/30/20147/27/2015
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/21/2019 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health10/21/2019 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health8/30/20192/11/2025
InactiveDesignated Agent Company Inc.681257Agent - Life8/30/20192/11/2025
InactiveFarmers General Insurance Agency, Inc.516608Agent - Personal Lines1/6/20157/27/2015
InactiveGohealth LLC691445Agent - Health2/19/20241/17/2025
InactiveTZ Insurance Solutions LLC727470Agent - Health11/12/20183/13/2022
InactiveTZ Insurance Solutions LLC727470Agent - Life11/12/20183/13/2022

© Commonwealth of Kentucky. All rights reserved.