DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wallace, Shakisha	DOIID	904261	NAIC NPN	9478857

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/19/2016		9/30/2025
* 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	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - Health	3/5/2017	6/2/2023
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Health	6/2/2023	4/5/2025
Active	Aetna Health Inc. (PA)	660717	Agent - Health	10/4/2023
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	2/25/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/4/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	10/4/2023
Inactive	American Financial Security Life Insurance Co.	301635	Agent - Health	1/21/2016	4/16/2025
Inactive	American General Life Insurance Company	301585	Agent - Health	7/7/2021	10/13/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/25/2020
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	9/1/2016	6/15/2022
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/29/2024
Inactive	Federal Insurance Company	301144	Agent - Health	3/5/2017	6/2/2023
Inactive	LifeShield National Insurance Company	737111	Agent - Health	10/30/2019	1/19/2023
Active	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	12/4/2024
Active	SilverScript Insurance Company	663526	Agent - Health	10/4/2023
Active	Tier One Insurance Company	301056	Agent - Health	10/20/2023
Inactive	Unified Life Insurance Company	543169	Agent - Health	1/25/2016	5/5/2025
Inactive	United States Fire Insurance Company	582240	Agent - Health	10/4/2019	6/1/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	2/11/2020	4/20/2022