DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mauller, Jeffrey	DOIID	1011959	NAIC NPN	7070353

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/18/2021	6/30/2023
Inactive	Non Resident	Agent	Health	3/18/2021	6/30/2023
* 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 - Health	9/10/2021	6/30/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	3/29/2021	7/7/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/29/2021	7/7/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/29/2021	7/7/2022
Denied	Aetna Life Insurance Company	301140	Agent - Life
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/18/2021	5/9/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/18/2021	3/30/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/18/2021	3/30/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/27/2018	12/27/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/26/2018	12/27/2018
Inactive	Humana Insurance Company	301104	Agent - Health	11/1/2018	12/27/2018
Inactive	Lumico Life Insurance Company	300354	Agent - Health	3/22/2021	6/30/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	3/29/2021	7/7/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	11/12/2018	12/27/2018
Denied	TZ Insurance Solutions LLC	727470	Agent - Life