DEPARTMENT OF INSURANCE

Affiliations

Name	Cummins, Mary Ann	DOIID	570995	NAIC NPN	7713624

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	10/29/2003	11/30/2025
Active	Resident	Agent	Health	7/16/2003	11/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	2/26/2025
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/12/2020	6/14/2022
Inactive	Assurity Life Insurance Company	301099	Agent - Health	10/17/2007	12/24/2008
Inactive	Assurity Life Insurance Company	301099	Agent - Life	10/17/2007	12/24/2008
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	12/10/2009	7/26/2016
Inactive	Genworth Life Insurance Company	300623	Agent - Health	8/17/2005	3/15/2006
Inactive	Genworth Life Insurance Company	300623	Agent - Life	8/17/2005	3/15/2006
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/12/2007	8/27/2015
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/12/2007	8/27/2015
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/12/2020	6/14/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/12/2020	6/14/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/1/2005	10/18/2006
Inactive	Humana Insurance Company	301104	Agent - Health	11/12/2020	6/14/2022
Inactive	Humana Insurance Company	301104	Agent - Life	12/1/2005	10/18/2006
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/12/2020	6/14/2022
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/12/2020	6/14/2022
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	8/5/2004	10/6/2006
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	8/5/2004	10/6/2006
Inactive	John Alden Life Insurance Company	300573	Agent - Health	1/28/2004	12/16/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Life	1/28/2004	12/16/2010
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/13/2007	11/1/2010
Inactive	Time Insurance Company	300683	Agent - Health	3/14/2012	11/25/2019
Inactive	Time Insurance Company	300683	Agent - Life	3/14/2012	11/25/2019
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	11/11/2004	8/24/2006
Inactive	United American Insurance Company	300910	Agent - Health	4/15/2016	12/23/2016
Inactive	United American Insurance Company	300910	Agent - Life	4/15/2016	12/23/2016
Inactive	United World Life Insurance Company	300532	Agent - Health	3/13/2007	11/1/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/12/2008	11/1/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/12/2008	11/1/2010
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/18/2015	2/14/2017
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	7/16/2003	2/6/2006
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	10/29/2003	2/6/2006
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	7/16/2003	2/6/2006
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	10/29/2003	2/6/2006
Active	Woodmen of the World Life Insurance Society	301446	Agent - Health	2/17/2006
Active	Woodmen of the World Life Insurance Society	301446	Agent - Life	2/17/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Woodmen Insurance Agency, Inc.	579244	Agent - Health	10/17/2016
Active	Woodmen Insurance Agency, Inc.	579244	Agent - Life	10/17/2016