DEPARTMENT OF INSURANCE
Affiliations
NameWallace, Darryl ClintonDOIID784077NAIC NPN16572618
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife6/14/2012 10/31/2025
ActiveNon ResidentAgentHealth6/14/2012 10/31/2025
* 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
Agent08/15/202510/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAXIS Insurance Company301290Agent - Health9/26/201611/17/2023
InactiveAetna Health Inc. (PA)660717Agent - Health12/5/201610/29/2024
InactiveAetna Health of Ohio Inc.1065035Agent - Health11/2/202010/29/2024
InactiveAetna Life Insurance Company301140Agent - Health12/5/201610/29/2024
InactiveAetna Life Insurance Company301140Agent - Life12/5/201610/29/2024
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health2/15/20197/23/2020
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life2/15/20197/23/2020
InactiveAmerican Financial Security Life Insurance Co.301635Agent - Health6/19/20132/12/2019
InactiveAmerican Financial Security Life Insurance Co.301635Agent - Life6/19/20132/12/2019
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/29/2021 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/23/202112/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health9/23/2021 
InactiveAnthem Life Insurance Company301209Agent - Health3/29/20214/14/2021
InactiveAnthem Life Insurance Company301209Agent - Life3/29/20214/14/2021
ActiveArcadian Health Plan, Inc.728196Agent - Health1/30/2025 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health8/25/2022 
InactiveCompBenefits Dental, Inc.591692Agent - Health10/21/201512/13/2016
InactiveCompanion Life Insurance Company300191Agent - Health10/3/20163/23/2018
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/23/2021 
InactiveDental Concern Inc. (The)301641Agent - Health11/20/201712/19/2019
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health10/8/2024 
InactiveFederal Insurance Company301144Agent - Health2/21/201811/17/2021
InactiveFirst Health Life & Health Insurance Company301735Agent - Health12/5/201610/29/2024
InactiveFreedom Life Insurance Company of America300074Agent - Health12/19/20134/15/2014
InactiveFreedom Life Insurance Company of America300074Agent - Life12/19/20134/15/2014
InactiveGolden Rule Insurance Company301943Agent - Health8/2/201312/13/2024
InactiveGolden Rule Insurance Company301943Agent - Life8/2/201312/13/2024
InactiveGuarantee Trust Life Insurance Company301043Agent - Health10/5/201612/5/2018
InactiveGuarantee Trust Life Insurance Company301043Agent - Life10/5/201612/5/2018
InactiveHCC Life Insurance Company301827Agent - Health1/13/20156/30/2016
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health12/29/201612/19/2019
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health12/29/20162/23/2018
InactiveHumana Health Plan, Inc.300142Agent - Health9/24/201512/19/2019
ActiveHumana Insurance Company301104Agent - Health3/3/2025 
InactiveHumana Insurance Company301104Agent - Life9/24/201512/19/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Health11/20/201712/19/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Life11/20/201712/19/2019
ActiveHumana Medical Plan, Inc.801568Agent - Health10/24/2024 
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/201612/19/2019
InactiveKanawha Insurance Company300127Agent - Health12/21/201212/5/2014
InactiveKanawha Insurance Company300127Agent - Life12/21/201212/5/2014
InactiveLumico Life Insurance Company300354Agent - Health11/1/20172/28/2018
InactiveLumico Life Insurance Company300354Agent - Life11/1/20172/28/2018
InactiveMutual of Omaha Insurance Company301012Agent - Health9/12/20199/22/2020
InactiveSilverScript Insurance Company663526Agent - Health8/23/201910/29/2024
InactiveSouthern Guaranty Insurance Company969411Agent - Health1/6/20209/30/2021
InactiveStandard Life and Accident Insurance Company301534Agent - Health12/20/201312/28/2021
InactiveStarr Indemnity and Liability Company301685Agent - Health12/18/20137/25/2017
InactiveTime Insurance Company300683Agent - Health6/19/201212/20/2014
InactiveTime Insurance Company300683Agent - Life6/19/201212/20/2014
InactiveUnified Life Insurance Company543169Agent - Health1/11/201611/15/2017
ActiveUnitedHealthcare Insurance Company300946Agent - Health8/25/2022 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/25/202212/22/2022
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health8/25/2022 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHealth Plan Intermediaries Holdings786463Agent - Health7/23/20184/18/2022
Pendinge-Telequote Insurance, Inc.687772Agent - Life  
Activee-Telequote Insurance, Inc.687772Agent - Health4/15/2025 

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