DEPARTMENT OF INSURANCE

Affiliations

Name	Wall, Krystal	DOIID	928292	NAIC NPN	18085922

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/12/2019		12/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2026	12/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Health	8/26/2023	8/1/2025
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	3/21/2019	10/21/2025
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	7/16/2019	12/19/2025
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/28/2020	10/21/2025
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/21/2019	10/21/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/28/2019	1/7/2026
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/28/2021	12/19/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/28/2021	1/7/2026
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/16/2024	2/20/2026
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	1/5/2026
Inactive	CareSource Kentucky Co.	838179	Agent - Health	10/6/2016	3/9/2018
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	8/17/2023	2/3/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/28/2021	1/7/2026
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/16/2019	12/19/2025
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	9/28/2024
Active	Golden Rule Insurance Company	301943	Agent - Health	12/30/2024
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	4/20/2022	1/13/2026
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/24/2020	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Health	3/20/2024	2/20/2026
Inactive	Insurance Company of North America	300226	Agent - Health	8/1/2025	2/1/2026
Inactive	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	10/11/2021	7/4/2025
Inactive	SilverScript Insurance Company	663526	Agent - Health	3/27/2019	10/21/2025
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/3/2019	1/5/2026
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/6/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/3/2019	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	4/3/2019	1/5/2026
Inactive	Vision Service Plan Insurance Company	300526	Agent - Health	7/17/2025	1/30/2026
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/19/2024	2/2/2026
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/28/2019	3/4/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/28/2019	2/11/2025
Inactive	eHealthInsurance Services Inc.	514105	Agent - Health	3/28/2019	1/8/2026