DEPARTMENT OF INSURANCE
Affiliations
NameWaller, Theresa DOIID767581NAIC NPN10366260
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife10/2/2018 9/30/2025
ActiveNon ResidentAgentHealth10/2/2018 9/30/2025
InactiveNon ResidentAgentPersonal Lines8/6/20149/30/2015 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent07/15/202509/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health2/6/2025 
ActiveAetna Health of Ohio Inc.1065035Agent - Health2/5/2025 
ActiveAetna Life Insurance Company301140Agent - Health2/5/2025 
InactiveAetna Life Insurance Company301140Agent - Life10/31/20189/18/2024
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health4/15/2025 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health5/17/202212/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health5/17/2022 
InactiveAnthem Life Insurance Company301209Agent - Health5/11/20224/14/2025
InactiveAnthem Life Insurance Company301209Agent - Life5/11/20224/14/2025
InactiveArcadian Health Plan, Inc.728196Agent - Health10/23/201912/12/2024
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/20221/9/2025
ActiveCompcare Health Services Insurance Corporation948751Agent - Health4/15/2025 
InactiveDental Concern Inc. (The)301641Agent - Health1/22/20199/10/2019
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health9/3/2024 
InactiveEverlake Life Insurance Company300873Agent - Health4/18/20129/30/2013
InactiveEverlake Life Insurance Company300873Agent - Life4/18/20129/30/2013
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Personal Lines8/18/20146/23/2015
InactiveFarmers Property and Casualty Insurance Company301237Agent - Personal Lines8/18/20146/23/2015
InactiveFirst Health Life & Health Insurance Company301735Agent - Health10/31/20189/18/2024
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health1/17/20199/10/2019
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health1/22/20199/10/2019
InactiveHumana Health Plan, Inc.300142Agent - Health1/22/20199/10/2019
InactiveHumana Insurance Company301104Agent - Health10/23/201912/12/2024
InactiveHumana Insurance Company301104Agent - Life1/22/20199/10/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Health1/22/20199/10/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Life1/22/20199/10/2019
InactiveHumana Medical Plan, Inc.801568Agent - Health1/8/202012/12/2024
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health11/14/201912/15/2020
InactiveLincoln Benefit Life Company301110Agent - Health4/18/20129/30/2013
InactiveLincoln Benefit Life Company301110Agent - Life4/18/20129/30/2013
InactiveSierra Health and Life Insurance Company Inc.300357Agent - Health10/21/20241/9/2025
ActiveSilverScript Insurance Company663526Agent - Health2/5/2025 
InactiveUnitedHealthcare Insurance Company300946Agent - Health2/25/20201/9/2025
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health2/25/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health2/25/202012/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health2/25/20201/9/2025
InactiveUnitrin Direct Property & Casualty Company637443Agent - Personal Lines12/30/20147/27/2015
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/21/2019 
ActiveWellCare Prescription Insurance Inc.654329Agent - Health10/21/2019 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health8/30/20192/11/2025
InactiveDesignated Agent Company Inc.681257Agent - Life8/30/20192/11/2025
InactiveFarmers General Insurance Agency, Inc.516608Agent - Personal Lines1/6/20157/27/2015
InactiveGohealth LLC691445Agent - Health2/19/20241/17/2025
InactiveTZ Insurance Solutions LLC727470Agent - Health11/12/20183/13/2022
InactiveTZ Insurance Solutions LLC727470Agent - Life11/12/20183/13/2022

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