DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mt&M Group, LLC	DOIID	1118977	NAIC NPN	18136678

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	2/1/2021		3/31/2025
Active	Non Resident	Agent	Health	2/1/2021		3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	12/8/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	12/8/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	12/8/2021
Active	Colonial Life and Accident Insurance Company	300846	Agent - Health	2/5/2021
Active	Colonial Life and Accident Insurance Company	300846	Agent - Life	2/5/2021
Active	SilverScript Insurance Company	663526	Agent - Health	12/8/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	4/6/2022	5/30/2023
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	4/6/2022	5/31/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Terry, Charles Floyd	701303	Agent - Health	2/1/2021
Active	Terry, Charles Floyd	701303	Agent - Life	2/1/2021