DEPARTMENT OF INSURANCE
Affiliations
NameDiebold, Mona DOIID556175NAIC NPN6516907
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentCasualty10/11/20079/20/2022 
InactiveNon ResidentAgentHealth9/26/20029/20/2022 
InactiveNon ResidentAgentProperty10/11/20079/20/2022 
InactiveNon ResidentAgentLife9/26/20029/20/2022 
InactiveNon ResidentAgentVariable Life and Variable Annuities9/26/20029/20/2022 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Inactive21st Century North America Insurance Company300884Agent - Casualty4/15/200811/17/2008
Inactive21st Century North America Insurance Company300884Agent - Property4/15/200811/17/2008
InactiveCentral States Health and Life Company of Omaha301874Agent - Health10/3/20038/15/2005
InactiveCentral States Health and Life Company of Omaha301874Agent - Life10/3/20038/15/2005
InactiveCompBenefits Dental, Inc.591692Agent - Health10/12/201212/10/2012
InactiveDental Concern Inc. (The)301641Agent - Health10/12/201212/10/2012
InactiveFirst Colony Life Insurance Company301179Agent - Health8/14/20031/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life8/14/20031/1/2007
InactiveGenworth Life Insurance Company300623Agent - Health9/27/200612/14/2016
InactiveGenworth Life Insurance Company300623Agent - Life9/27/200612/14/2016
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health1/1/200712/14/2016
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/200712/14/2016
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health11/17/201412/19/2019
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/12/20121/17/2014
InactiveHumana Health Plan, Inc.300142Agent - Health10/7/200712/10/2012
InactiveHumana Insurance Company301104Agent - Health1/11/201712/19/2019
InactiveHumana Insurance Company301104Agent - Life10/12/20121/17/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Health10/7/20071/17/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Life10/7/20071/17/2014
InactiveHumana Medical Plan, Inc.801568Agent - Health11/17/201412/19/2019
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/201612/19/2019
InactiveJackson National Life Insurance Company300486Agent - Life10/27/20056/23/2010
InactiveJohn Alden Life Insurance Company300573Agent - Health11/30/20057/16/2013
InactiveJohn Alden Life Insurance Company300573Agent - Life11/30/20057/16/2013
InactiveJohn Hancock Life Insurance Company300821Agent - Health1/1/200312/30/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/19/20086/8/2011
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life1/28/20046/8/2011
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities1/28/20046/8/2011
InactiveMetLife Investors USA Insurance Company300845Agent - Health1/19/200711/19/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Life1/19/200711/19/2009
InactiveMetropolitan Life Insurance Company301948Agent - Health3/17/200411/26/2009
InactiveMetropolitan Life Insurance Company301948Agent - Life3/17/200411/26/2009
InactiveNational Guardian Life Insurance Company300596Agent - Health12/29/20059/20/2022
InactiveNational Guardian Life Insurance Company300596Agent - Life12/29/20059/20/2022
InactivePhysicians Mutual Insurance Company301084Agent - Health1/22/200412/13/2006
InactivePrincipal Life Insurance Company300129Agent - Health8/23/200412/3/2008
InactivePrincipal Life Insurance Company300129Agent - Life8/23/200412/3/2008
InactiveSun Life Assurance Company of Canada301811Agent - Life12/24/200312/13/2006
InactiveThrivent Financial for Lutherans301101Agent - Health9/26/20029/20/2022
InactiveThrivent Financial for Lutherans301101Agent - Life9/26/20029/20/2022
InactiveThrivent Financial for Lutherans301101Agent - Variable Life and Variable Annuities9/26/20029/20/2022
InactiveTime Insurance Company300683Agent - Health6/27/201411/23/2019
InactiveTime Insurance Company300683Agent - Life6/27/201411/23/2019
InactiveVenerable Insurance and Annuity Company301006Agent - Life9/2/200411/3/2007
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities9/2/200411/3/2007
InactiveWest Coast Life Insurance Company301607Agent - Health10/30/200312/29/2005
InactiveWest Coast Life Insurance Company301607Agent - Life10/30/200312/29/2005
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveThrivent Ins Agency Inc510973Agent - Health1/23/20039/20/2022
InactiveThrivent Ins Agency Inc510973Agent - Life1/3/20039/20/2022
InactiveThrivent Ins Agency Inc510973Agent - Variable Life and Variable Annuities7/13/20049/20/2022
InactiveThrivent Ins Agency Inc510973Agent - Property7/29/20209/20/2022
InactiveThrivent Ins Agency Inc510973Agent - Casualty7/29/20209/20/2022
InactiveThrivent Property & Casualty Insurance Agency Inc515095Agent - Property4/15/200811/17/2008
InactiveThrivent Property & Casualty Insurance Agency Inc515095Agent - Casualty4/15/200811/17/2008

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