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	Health	7/16/2003	11/30/2025
Active	Resident	Agent	Life	10/29/2003	11/30/2025
* 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	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