DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Weishapl, Mary Ellen	DOIID	1097314	NAIC NPN	19215472

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/9/2020		10/31/2024
Active	Non Resident	Agent	Life	9/9/2020		10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	9/9/2020
Active	United World Life Insurance Company	300532	Agent - Health	9/9/2020
Active	United of Omaha Life Insurance Company	300156	Agent - Health	9/9/2020
Active	United of Omaha Life Insurance Company	300156	Agent - Life	9/9/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Quality Teleservices Management Inc	637786	Agent - Life	6/21/2023
Active	Quality Teleservices Management Inc	637786	Agent - Health	6/21/2023