DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wallace, Mary Ann	DOIID	942208	NAIC NPN	8701742

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/17/2017	2/28/2022
Inactive	Non Resident	Agent	Health	1/17/2017	2/28/2022
* 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	8/22/2018	2/28/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/26/2020	2/28/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/22/2018	2/28/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/22/2018	2/28/2022
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	4/30/2020	12/9/2021
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/22/2018	2/28/2022
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	1/24/2017	5/8/2018
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	1/24/2017	5/8/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/7/2017	12/13/2020
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/7/2017	12/15/2020
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	9/28/2020	2/28/2022
Inactive	National Health Insurance Company	300554	Agent - Health	12/22/2017	12/11/2019
Inactive	SilverScript Insurance Company	663526	Agent - Health	10/17/2019	2/28/2022
Inactive	Time Insurance Company	300683	Agent - Health	12/29/2017	11/23/2019
Inactive	Time Insurance Company	300683	Agent - Life	12/29/2017	11/23/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	8/10/2020	2/28/2022
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	8/10/2020	2/28/2022
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/24/2019	4/8/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/24/2019	4/7/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	1/25/2017	5/8/2018
Inactive	Ushealth Advisors Llc	713288	Agent - Health	1/25/2017	5/8/2018