DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mumby, Mallory	DOIID	1408887	NAIC NPN	21642366

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	7/3/2025		8/31/2026
Active	Non Resident	Agent	Health	7/3/2025		8/31/2026
* 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	06/15/2026	08/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	7/17/2025
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/17/2025
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/22/2025
Active	Aetna Life Insurance Company	301140	Agent - Health	7/22/2025
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/3/2025
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/3/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/4/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/3/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/17/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/17/2025
Active	Golden Rule Insurance Company	301943	Agent - Health	9/9/2025
Active	Golden Rule Insurance Company	301943	Agent - Life	9/9/2025
Active	SilverScript Insurance Company	663526	Agent - Health	7/22/2025
Active	Tier One Insurance Company	301056	Agent - Health	7/22/2025
Active	Tier One Insurance Company	301056	Agent - Life	7/22/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/4/2025
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/4/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Smart Match Insurance Agency LLC	829381	Agent - Life	7/30/2025
Active	Smart Match Insurance Agency LLC	829381	Agent - Health	7/30/2025