DEPARTMENT OF INSURANCE

Affiliations

Name	Mindum, Connie L	DOIID	349698	NAIC NPN	1779493

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Administrator	Not Applicable	9/15/1997	10/17/2007
Inactive	Non Resident	Agent	Health	9/10/2010	9/30/2017
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	1/27/2012	9/30/2017
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	9/6/2013	4/10/2015
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/27/2012	9/30/2017
Inactive	American Continental Insurance Company	643130	Agent - Health	9/6/2013	6/6/2016
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/30/2010	8/18/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/11/2011	12/8/2015
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/6/2013	11/10/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/11/2011	12/8/2015
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/5/2011	9/30/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	2/4/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	2/4/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/11/2011	2/4/2016
Inactive	Humana Insurance Company	301104	Agent - Health	11/11/2011	2/4/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/11/2011	2/4/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	2/4/2016
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/16/2012	6/24/2013
Inactive	Omaha Insurance Company	751908	Agent - Health	3/30/2012	6/24/2013
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/8/2010	11/4/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/1/2010	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/8/2010	8/2/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/13/2016	8/2/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/8/2011	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/11/2015	8/2/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Health Plans of Kentucky (TPA)	401292	Administrator - Not Applicable	3/19/2001	10/17/2007
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/30/2010	8/17/2017
Inactive	Paragon Health System LLC	395828	Administrator - Not Applicable	9/15/1997	3/31/2001
Inactive	Retiremed IQ, LLC	682484	Agent - Health	6/6/2011	11/27/2017