DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mint Hill Insurance Services, L.L.C.	DOIID	1157309	NAIC NPN	19461309

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/8/2021		3/31/2027
Active	Non Resident	Agent	Health	9/8/2021		3/31/2027
* 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	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Principal Life Insurance Company	300129	Agent - Health	2/11/2022
Active	Principal Life Insurance Company	300129	Agent - Life	2/11/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Beldner, Timothy Scott	726498	Agent - Health	9/8/2021
Active	Beldner, Timothy Scott	726498	Agent - Life	9/8/2021