DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fallick, Jeffrey Lloyd	DOIID	962819	NAIC NPN	2642402

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/7/2017		11/30/2027
Active	Non Resident	Agent	Health	8/7/2017		11/30/2027
* 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
Active	All Savers Insurance Company	301940	Agent - Health	7/29/2024
Active	All Savers Insurance Company	301940	Agent - Life	7/29/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/8/2017	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/8/2017	4/15/2025
Active	Standard Insurance Company	300185	Agent - Health	1/2/2025
Active	Standard Insurance Company	300185	Agent - Life	1/2/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/29/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	7/29/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/29/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/29/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Life	9/8/2017
Active	Designated Agent Company Inc.	681257	Agent - Health	9/8/2017