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	Health	8/7/2017		11/30/2025
Active	Non Resident	Agent	Life	8/7/2017		11/30/2025
* 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	09/15/2025	11/30/2025

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	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