DEPARTMENT OF INSURANCE
Affiliations
NameWaller, Theresa DOIID767581NAIC NPN10366260
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife10/2/2018 9/30/2025
ActiveNon ResidentAgentHealth10/2/2018 9/30/2025
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 - Health10/31/2018 
ActiveAetna Health of Ohio Inc.1065035Agent - Health1/15/2021 
ActiveAetna Life Insurance Company301140Agent - Health10/31/2018 
ActiveAetna Life Insurance Company301140Agent - Life10/31/2018 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health5/17/2022 
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health5/17/2022 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health5/17/2022 
ActiveAnthem Life Insurance Company301209Agent - Health5/11/2022 
ActiveAnthem Life Insurance Company301209Agent - Life5/11/2022 
ActiveArcadian Health Plan, Inc.728196Agent - Health10/23/2019 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/2022 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/16/2021 
InactiveDental Concern Inc. (The)301641Agent - Health1/22/20199/10/2019
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
ActiveFirst Health Life & Health Insurance Company301735Agent - Health10/31/2018 
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
ActiveHumana Insurance Company301104Agent - Health10/23/2019 
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
ActiveHumana Medical Plan, Inc.801568Agent - Health1/8/2020 
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
ActiveSilverScript Insurance Company663526Agent - Health8/23/2019 
ActiveUnitedHealthcare Insurance Company300946Agent - Health2/25/2020 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health2/25/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health2/25/202012/23/2021
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health2/25/2020 
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
ActiveDesignated Agent Company Inc.681257Agent - Health8/30/2019 
ActiveDesignated Agent Company Inc.681257Agent - Life8/30/2019 
InactiveFarmers General Insurance Agency, Inc.516608Agent - Personal Lines1/6/20157/27/2015
ActiveGohealth LLC691445Agent - Health2/19/2024 
InactiveTZ Insurance Solutions LLC727470Agent - Health11/12/20183/13/2022
InactiveTZ Insurance Solutions LLC727470Agent - Life11/12/20183/13/2022

© Commonwealth of Kentucky. All rights reserved.