DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mena, Jo Ann	DOIID	507573	NAIC NPN	2722400

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	5/11/2001	11/1/2018
Inactive	Resident	Agent	Health	4/19/2001	11/1/2018
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	9/18/2013	12/5/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/9/2010	7/19/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/9/2010	7/19/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/18/2013	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/18/2013	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Life	5/11/2001	11/1/2018
Inactive	Humana Insurance Company	301104	Agent - Health	9/18/2013	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Life	9/18/2013	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/18/2013	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/18/2013	12/5/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/5/2010	2/22/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	2/5/2010	2/22/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/18/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/18/2013	12/5/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Preferred Benefits LLC	550000	Agent - Life	7/24/2015	11/1/2018
Denied	Preferred Benefits LLC	550000	Agent - Health