DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wallace, William	DOIID	956373	NAIC NPN	11839078

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/5/2017	1/31/2021
Inactive	Non Resident	Agent	Life	6/5/2017	1/31/2021
* 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	7/25/2018	1/31/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/25/2018	1/31/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/25/2018	1/31/2021
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	6/8/2017	12/19/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/30/2017	1/31/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/30/2017	1/31/2021
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	7/25/2018	1/31/2021
Inactive	Federal Insurance Company	301144	Agent - Health	10/6/2017	3/30/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/13/2017	2/2/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/13/2017	2/2/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	7/10/2018	1/31/2021
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	7/10/2018	1/31/2021
Inactive	Independence American Insurance Company	524747	Agent - Health	5/21/2018	12/11/2019
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	6/16/2017	4/7/2018
Inactive	Unified Life Insurance Company	543169	Agent - Health	7/10/2017	12/12/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Connected Benefits LLC	922924	Agent - Health	6/21/2018	1/31/2021
Inactive	Connected Benefits LLC	922924	Agent - Life	6/21/2018	1/31/2021