black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

JESSICA L. WALLACE

PRODUCER NON-RESIDENT

License Number:
PRN393711
Status:
First Licensure:
08/28/2021
Cancel Date:
None

Mailing:
ROCHESTER, NY 14623
Phone:
+1 (315) 857-3379
Fax:
+1 (585) 389-7270
Email:
jlwallace@paychex.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/28/2021

Agency

Name Issue Date License Number Expiration Date Cancel Date
PAYCHEX INSURANCE AGENCY INC
08/31/2021 AGN56888

Employer

Name Issue Date License Number Expiration Date Cancel Date
AMH HEALTH, LLC
09/23/2021 HMD329485 07/24/2024
ANTHEM HEALTH PLANS OF MAINE INC.
09/23/2021 LHD70566
ANTHEM LIFE INSURANCE COMPANY
09/23/2021 LHF70467 04/11/2025
UNITEDHEALTHCARE INSURANCE COMPANY
09/28/2021 LHF700
UNITEDHEALTHCARE OF NEW ENGLAND, INC.
11/01/2021 HMF393375

Authority

Description Issue Date Termination Date Status
HEALTH 08/28/2021 Active
LIFE 08/28/2021 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
17835376

Other Addresses

Address Type
ROCHESTER, NY 14623
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 10/06/2025 04:09:04 AM