DEPARTMENT OF INSURANCE

Affiliations

Name	Mutombo, Antoinette	DOIID	1323992	NAIC NPN	20268622

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	2/13/2024	3/31/2026
Active	Non Resident	Agent	Life	2/13/2024	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	Accendo Insurance Company	300312	Agent - Life	3/7/2024
Active	Aetna Health Inc. (PA)	660717	Agent - Health	2/17/2024
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/7/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	2/17/2024
Active	Aetna Life Insurance Company	301140	Agent - Health	2/17/2024
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	2/13/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/13/2025
Active	Anthem Life Insurance Company	301209	Agent - Health	2/13/2024
Active	Anthem Life Insurance Company	301209	Agent - Life	2/13/2024
Active	CICA Life Insurance Company of America	600487	Agent - Life	2/14/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/9/2025
Active	CareSource Kentucky Co.	838179	Agent - Health	3/24/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	2/20/2024	2/13/2025
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	2/20/2024	2/13/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	3/13/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/7/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/7/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	3/27/2025
Active	Golden Rule Insurance Company	301943	Agent - Health	2/23/2024
Active	Golden Rule Insurance Company	301943	Agent - Life	2/23/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	1/6/2025
Active	SilverScript Insurance Company	663526	Agent - Health	2/17/2024
Active	Transamerica Life Insurance Company	300571	Agent - Health	3/11/2025
Active	Transamerica Life Insurance Company	300571	Agent - Life	3/11/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	3/9/2025
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/9/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Life	4/26/2024
Active	HealthMarkets Insurance Agency Inc	709727	Agent - Health	4/26/2024