DEPARTMENT OF INSURANCE

Affiliations

Name	Mountain, Walter W	DOIID	1050090	NAIC NPN	19162468

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/5/2019	2/28/2025
Active	Non Resident	Agent	Life	8/5/2019	2/28/2025
* 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
Active	ACE Property and Casualty Insurance Company	300520	Agent - Health	11/29/2022
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/23/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	10/29/2019
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/23/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	9/23/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	10/29/2019	8/11/2021
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	5/2/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/2/2021
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021
Inactive	Capitol Life Insurance Company	301514	Agent - Health	8/1/2020	6/21/2024
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/9/2020
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/24/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/10/2019
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/21/2022	3/3/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/16/2019	12/23/2022
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	5/19/2022
Active	National Health Insurance Company	300554	Agent - Health	11/22/2022
Active	National Health Insurance Company	300554	Agent - Life	11/22/2022
Inactive	Puritan Life Insurance Company of America	301892	Agent - Health	11/22/2019	8/8/2022
Active	SilverScript Insurance Company	663526	Agent - Health	9/23/2021
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	10/4/2019	5/8/2023
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Inactive	United World Life Insurance Company	300532	Agent - Health	4/28/2020	3/22/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/10/2020	6/8/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/13/2021	5/6/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/13/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/13/2021	5/6/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Spring Ins Solutions LLC	788951	Agent - Life	11/20/2019
Active	Spring Ins Solutions LLC	788951	Agent - Health	11/20/2019