PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameWall, Jerome JDOIID845724NAIC NPN2057510
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth7/17/2014 8/31/2026
ActiveNon ResidentAgentLife7/17/2014 8/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent06/15/202608/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/20156/7/2021
InactiveAetna Life Insurance Company301140Agent - Health12/10/20156/7/2021
InactiveAetna Life Insurance Company301140Agent - Life12/10/20156/7/2021
InactiveCoventry Health and Life Insurance Company301771Agent - Health12/10/20156/7/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedGallagher Benefit Services Inc525782Agent - Life  
DeniedGallagher Benefit Services Inc525782Agent - Health  

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