DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wall, Jerome J	DOIID	845724	NAIC NPN	2057510

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/17/2014		8/31/2026
Active	Non Resident	Agent	Life	7/17/2014		8/31/2026
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2015	6/7/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	12/10/2015	6/7/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	12/10/2015	6/7/2021
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	12/10/2015	6/7/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Gallagher Benefit Services Inc	525782	Agent - Life
Denied	Gallagher Benefit Services Inc	525782	Agent - Health