DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wallace, Shakisha	DOIID	904261	NAIC NPN	9478857

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/19/2016		9/30/2025
* 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	ACE American Insurance Company	300625	Agent - Health	3/5/2017	6/2/2023
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	6/2/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/4/2023
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	2/25/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/4/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	10/4/2023
Active	American Financial Security Life Insurance Co.	301635	Agent - Health	1/21/2016
Inactive	American General Life Insurance Company	301585	Agent - Health	7/7/2021	10/13/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/25/2020
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	9/1/2016	6/15/2022
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/29/2024
Inactive	Federal Insurance Company	301144	Agent - Health	3/5/2017	6/2/2023
Inactive	LifeShield National Insurance Company	737111	Agent - Health	10/30/2019	1/19/2023
Active	SilverScript Insurance Company	663526	Agent - Health	10/4/2023
Active	Tier One Insurance Company	301056	Agent - Health	10/20/2023
Active	Unified Life Insurance Company	543169	Agent - Health	1/25/2016
Inactive	United States Fire Insurance Company	582240	Agent - Health	10/4/2019	6/1/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	2/11/2020	4/20/2022