DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wallace, Michael L	DOIID	904668	NAIC NPN	9234733

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	1/22/2016		10/31/2025
Active	Non Resident	Agent	Health	1/22/2016		10/31/2025
Active	Non Resident	Agent	Casualty	12/10/2024		10/31/2025
Active	Non Resident	Agent	Property	12/10/2024		10/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	All Savers Insurance Company	301940	Agent - Health	1/22/2025
Active	All Savers Insurance Company	301940	Agent - Life	1/22/2025
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/27/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/22/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	1/22/2025
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/22/2025
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/22/2025
Active	Zurich American Insurance Company	301121	Agent - Casualty	1/3/2025
Active	Zurich American Insurance Company	301121	Agent - Property	1/3/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Willis Towers Watson US LLC	705053	Agent - Life	2/4/2025
Active	Willis Towers Watson US LLC	705053	Agent - Health	2/4/2025
Active	Willis Towers Watson US LLC	705053	Agent - Casualty	2/4/2025
Active	Willis Towers Watson US LLC	705053	Agent - Property	2/4/2025