DEPARTMENT OF INSURANCE

Affiliations

Name	Mutsch, Douglas John	DOIID	375088	NAIC NPN	1459855

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	11/22/1999	9/1/2023
Inactive	Resident	Agent	Health	4/24/1995	9/1/2023
* 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	1/9/2004	12/1/2006
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	9/1/2023
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	5/1/2006	6/2/2006
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	5/1/2006	6/2/2006
Inactive	American Continental Insurance Company	643130	Agent - Health	4/25/2007	11/11/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	4/25/2007	11/11/2014
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	9/14/2007	12/29/2008
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	9/14/2007	12/29/2008
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/16/2010	8/31/2011
Inactive	Conseco Health Insurance Company	301725	Agent - Health	4/24/1995	10/1/2010
Inactive	Conseco Health Insurance Company	301725	Agent - Life	11/22/1999	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Health	7/6/2004	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Life	7/6/2004	10/1/2010
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	8/25/2003	9/1/2023
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	2/22/2021	9/1/2023
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	11/14/2008	12/1/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/16/2010	8/31/2011
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	11/14/2008	12/1/2010
Inactive	Gerber Life Insurance Company	300529	Agent - Health	8/3/2010	12/17/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	8/3/2010	12/17/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/30/2008	4/15/2014
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/30/2008	4/15/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/1/2004	8/31/2011
Inactive	Humana Insurance Company	301104	Agent - Health	11/1/2004	8/31/2011
Inactive	Humana Insurance Company	301104	Agent - Life	11/1/2004	8/31/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/1/2004	8/31/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/1/2004	8/31/2011
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	8/27/2003	12/12/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	8/27/2003	12/12/2006
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	9/3/2003	12/12/2006
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/21/2003	7/22/2005
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/21/2003	7/22/2005
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	8/30/2004	4/28/2009
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	8/30/2004	4/28/2009
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/29/2008	4/16/2011
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	10/10/2008	11/4/2011
Inactive	Physicians Life Insurance Company	300924	Agent - Health	8/6/2004	2/12/2007
Inactive	Physicians Life Insurance Company	300924	Agent - Life	8/6/2004	2/12/2007
Inactive	Physicians Mutual Insurance Company, Inc.	301084	Agent - Health	8/6/2004	2/12/2007
Inactive	SILAC Insurance Company	300535	Agent - Health	4/20/2016	4/20/2017
Inactive	SILAC Insurance Company	300535	Agent - Life	4/20/2016	4/20/2017
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	6/28/1999	7/18/2003
Inactive	SilverScript Insurance Company	663526	Agent - Health	5/13/2016	4/3/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/29/2008	4/16/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/29/2008	4/16/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/10/2008	5/13/2013
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/2/2011	5/13/2013
Inactive	Washington National Insurance Company	300587	Agent - Health	10/1/2010	9/3/2013
Inactive	Washington National Insurance Company	300587	Agent - Life	10/1/2010	9/3/2013
Inactive	Wilco Life Insurance Company	300122	Agent - Life	12/13/1999	10/3/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Capitol Marketing Ins Inc	400068	Agent - Health	6/28/2005	9/1/2023
Inactive	Capitol Marketing Ins Inc	400068	Agent - Life	6/28/2005	4/20/2017