DEPARTMENT OF INSURANCE

Affiliations

Name	Mudd, Jan Maurice	DOIID	337442	NAIC NPN	548719

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	1/6/2016	11/30/2023
Inactive	Non Resident	Agent	Health	1/6/2016	11/30/2023
Inactive	Resident	Agent	Health Maintenance Organization	11/10/1997	1/16/2001
* 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
Inactive	AF&L Insurance Company	301582	Agent - Health	3/1/2001	2/9/2004
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	4/30/2001	2/9/2004
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/30/2001	2/9/2004
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	2/21/2002	2/9/2004
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/3/2002	2/9/2004
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/3/2002	2/9/2004
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	9/28/2001	5/14/2003
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	9/28/2001	5/14/2003
Inactive	Banner Life Insurance Company	301696	Agent - Life	2/21/2002	2/9/2004
Inactive	Canada Life Assurance Company	301192	Agent - Life	6/14/2002	11/19/2003
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	10/22/2001	2/9/2004
Inactive	Conseco Health Insurance Company	301725	Agent - Health	3/28/2001	10/14/2003
Inactive	Conseco Health Insurance Company	301725	Agent - Life	11/26/2001	10/14/2003
Inactive	Conseco Insurance Company	301202	Agent - Life	10/16/2001	2/9/2004
Inactive	Continental Casualty Company	301019	Agent - Health	4/12/2002	2/9/2004
Inactive	Continental General Insurance Company	300691	Agent - Health	10/3/2001	3/4/2002
Inactive	Continental General Insurance Company	300691	Agent - Life	10/3/2001	3/4/2002
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/2/2018	9/21/2021
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Life	4/19/2002	1/1/2004
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	10/22/2001	2/9/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	7/11/2001	2/9/2004
Inactive	Genworth Life Insurance Company	300623	Agent - Health	3/9/2001	2/9/2004
Inactive	Genworth Life Insurance Company	300623	Agent - Life	3/9/2001	2/9/2004
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/14/2001	11/7/2001
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/14/2001	11/7/2001
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/2/2018	9/21/2021
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health Maintenance Organization	1/8/1998	1/16/2001
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/2/2018	9/21/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	11/10/1997	1/16/2001
Inactive	Humana Insurance Company	300118	Agent - Health	8/11/1998	1/16/2001
Inactive	Humana Insurance Company	301104	Agent - Health	11/2/2018	9/21/2021
Inactive	Humana Insurance Company	301104	Agent - Life	11/2/2018	9/21/2021
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/2/2018	9/21/2021
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/2/2018	9/21/2021
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	1/10/2002	2/9/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	1/10/2002	2/9/2004
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	5/14/2001	2/9/2004
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	5/14/2001	2/9/2004
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Health	1/10/2002	2/9/2004
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	1/10/2002	2/9/2004
Inactive	Medico Insurance Company	301559	Agent - Health	3/2/2001	11/27/2002
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/8/2002	9/23/2003
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	11/30/2003	1/24/2004
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	11/30/2003	1/24/2004
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	1/19/2001	11/15/2002
Inactive	Protected Home Mutual Life Insurance Company	301399	Agent - Health	11/5/2001	11/30/2003
Inactive	Protected Home Mutual Life Insurance Company	301399	Agent - Life	11/5/2001	11/30/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	3/9/2001	2/9/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	11/1/2001	2/9/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	11/1/2001	2/9/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	4/22/2002	2/9/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	4/22/2002	2/9/2004
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	4/25/2002	2/9/2004
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	4/22/2002	10/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	4/22/2002	10/1/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	4/19/2001	9/17/2003
Inactive	Southland Life Insurance Company	301175	Agent - Health	4/22/2002	2/9/2004
Inactive	Southland Life Insurance Company	301175	Agent - Life	4/22/2002	2/9/2004
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	3/16/2001	2/9/2004
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	3/16/2001	2/9/2004
Inactive	State Mutual Insurance Company	300359	Agent - Health	10/19/2001	12/15/2003
Inactive	State Mutual Insurance Company	300359	Agent - Life	10/19/2001	12/15/2003
Inactive	Time Insurance Company	300683	Agent - Health	4/24/2001	2/9/2004
Inactive	Time Insurance Company	300683	Agent - Life	4/24/2001	2/9/2004
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	6/10/2002	2/9/2004
Inactive	USG Annuity & Life Company	300457	Agent - Life	4/19/2002	1/1/2004
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	1/1/2004	2/9/2004
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	11/14/2001	2/9/2004
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	11/14/2001	2/9/2004
Inactive		300277	Agent - Life	7/6/2001	2/9/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	6/18/2019	9/21/2021
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	8/8/2001	2/9/2004
Inactive	Planchoice Inc.	400482	Agent - Health	3/5/2003	2/9/2004
Inactive	Planchoice Inc.	400482	Agent - Life	3/5/2003	2/9/2004
Inactive	Retirement Care Services Inc.	400406	Agent - Health	1/5/2001	2/26/2003