DEPARTMENT OF INSURANCE

Affiliations

Name	Wallace, Wanda Lee	DOIID	811674	NAIC NPN	10137607

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	6/5/2013	8/31/2022
Inactive	Non Resident	Agent	Life	6/5/2013	8/31/2022
Inactive	Non Resident	Agent	Casualty	6/5/2013	8/31/2022
Inactive	Non Resident	Agent	Property	6/5/2013	8/31/2022
* 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
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	8/31/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/22/2019	6/30/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	8/28/2019	8/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/22/2019	6/30/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/22/2019	6/30/2022
Inactive	American Continental Insurance Company	643130	Agent - Life	8/28/2019	8/11/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/18/2014	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/18/2014	11/3/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/17/2013	12/5/2014
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/28/2019	8/31/2022
Inactive	Country Investors Life Assurance Company	301973	Agent - Health	7/16/2013	11/30/2015
Inactive	Country Investors Life Assurance Company	301973	Agent - Life	7/16/2013	11/30/2015
Inactive	Country Life Insurance Company	300595	Agent - Health	7/16/2013	11/30/2015
Inactive	Country Life Insurance Company	300595	Agent - Life	7/16/2013	11/30/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/17/2013	12/5/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/24/2013	7/11/2018
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/24/2013	7/11/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/17/2013	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/17/2013	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	10/17/2013	5/4/2015
Inactive	Humana Insurance Company	301104	Agent - Life	10/17/2013	5/4/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/17/2013	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/17/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/17/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/17/2013	12/5/2014
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/12/2013	9/9/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/12/2013	9/9/2015
Inactive	Time Insurance Company	300683	Agent - Health	6/27/2014	11/22/2019
Inactive	Time Insurance Company	300683	Agent - Life	6/27/2014	11/22/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	8/12/2013	9/9/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	8/12/2013	9/9/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/3/2014	3/1/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/12/2015	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/12/2015	11/4/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/3/2014	3/1/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2015	3/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CBISA Reaquisitian Corp	547026	Agent - Health	2/14/2014	8/31/2022
Inactive	CBISA Reaquisitian Corp	547026	Agent - Life	2/14/2014	8/31/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Health	5/18/2014	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/18/2014	11/2/2016