DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wallace Hart LLC	DOIID	1231456	NAIC NPN	20469744

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	6/11/2024		3/31/2026
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Clear Spring Life and Annuity Company	300919	Agent - Life	12/25/2023	1/11/2024
Inactive	Standard Insurance Company	300185	Agent - Life	2/12/2024	3/31/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hart, Michael Andrew	785429	Agent - Life	6/11/2024	8/1/2024
Active	Wallace, Jeremy Nathan	509245	Agent - Life	10/17/2024