DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ouillette, Mallory A	DOIID	1106717	NAIC NPN	19576907

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/22/2020		3/31/2026
Active	Non Resident	Agent	Health	10/22/2020		3/31/2026
* 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	12/17/2022
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	2/3/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	2/3/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	2/3/2021	8/11/2021
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	3/31/2024
Inactive	Capitol Life Insurance Company	301514	Agent - Health	1/14/2021	6/21/2024
Active	CompBenefits Insurance Company	301864	Agent - Health	8/5/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	2/3/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/9/2021
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/21/2022	3/6/2024
Inactive	Lumico Life Insurance Company	300354	Agent - Health	1/11/2021	12/23/2022
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	5/14/2021
Active	National Health Insurance Company	300554	Agent - Health	10/1/2022
Active	National Health Insurance Company	300554	Agent - Life	10/1/2022
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	11/7/2023
Inactive	United World Life Insurance Company	300532	Agent - Health	10/17/2021	4/24/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/26/2020	6/8/2023

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	2/3/2021
Active	Spring Ins Solutions LLC	788951	Agent - Health	10/26/2020