DEPARTMENT OF INSURANCE
Affiliations
NameWallace, Tammy LoraineDOIID799933NAIC NPN14009935
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife12/19/20121/31/2015 
InactiveNon ResidentAgentHealth12/19/20121/31/2015 
* 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
InactiveAnthem Life Insurance Company301209Agent - Health11/1/20131/31/2015
InactiveAnthem Life Insurance Company301209Agent - Life11/1/20131/31/2015
InactiveChesapeake Life Insurance Company (The)301017Agent - Health8/16/20134/22/2014
InactiveChesapeake Life Insurance Company (The)301017Agent - Life8/16/20134/22/2014
InactiveCompBenefits Dental, Inc.591692Agent - Health8/5/201312/5/2014
InactiveCompanion Life Insurance Company300191Agent - Health5/30/20131/31/2015
InactiveCompanion Life Insurance Company300191Agent - Life5/30/20131/31/2015
InactiveCoventry Health and Life Insurance Company301771Agent - Health8/28/20141/31/2015
InactiveCoventry Health and Life Insurance Company301771Agent - Life8/28/20141/31/2015
InactiveDental Concern Inc. (The)301641Agent - Health8/5/201312/5/2014
InactiveGolden Rule Insurance Company301943Agent - Health1/9/20131/31/2015
InactiveGolden Rule Insurance Company301943Agent - Life1/9/20131/31/2015
InactiveHumana Health Plan, Inc.300142Agent - Health8/5/201312/5/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Health8/5/201312/5/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Life8/5/201312/5/2014
InactiveKanawha Insurance Company300127Agent - Health8/5/201312/5/2014
InactiveKanawha Insurance Company300127Agent - Life8/5/201312/5/2014
InactiveTime Insurance Company300683Agent - Health1/3/201312/20/2014
InactiveTime Insurance Company300683Agent - Life1/3/201312/20/2014
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life11/1/20131/31/2015
InactiveDesignated Agent Company Inc.681257Agent - Health11/1/20131/31/2015
InactiveNational Health Ins Agency LLC816297Agent - Life8/2/20131/31/2015
InactiveNational Health Ins Agency LLC816297Agent - Health8/2/20131/31/2015

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