DEPARTMENT OF INSURANCE

Affiliations

Name	Mellard, Nancy M	DOIID	598279	NAIC NPN	8163166

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	2/15/2021	8/31/2025
Active	Non Resident	Agent	Health	11/12/2004	8/31/2025
Active	Non Resident	Agent	Life	11/12/2004	8/31/2025
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	5/1/2019	7/8/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/1/2019	7/8/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	5/1/2019	7/8/2021
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/9/2011
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/9/2011
Active	Banner Life Insurance Company	301696	Agent - Life	5/18/2012
Active	Continental American Insurance Company	301700	Agent - Health	5/29/2022
Active	Continental American Insurance Company	301700	Agent - Life	5/29/2022
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	7/15/2005	12/31/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	7/15/2005	12/31/2006
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	7/15/2005
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	7/15/2005
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	5/16/2012	12/29/2020
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	5/16/2012	12/29/2020
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	3/2/2006	6/6/2008
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	3/2/2006	6/6/2008
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	7/8/2021
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2020
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	2/26/2016	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	2/26/2016	10/1/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/25/2011	4/14/2014
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/25/2011	4/14/2014
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/2/2019	4/8/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/2/2019	4/8/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CBIZ Benefits & Ins Services Inc	514101	Agent - Life	1/10/2006
Active	CBIZ Benefits & Ins Services Inc	514101	Agent - Health	1/10/2006
Active	CBIZ Benefits & Ins Services Inc	514101	Administrator - Not Applicable	2/17/2021
Inactive	CBIZ Gebcorp Insurance, Inc.	534036	Agent - Life	2/6/2008	3/31/2009
Active	Cbiz Life Insurance Solutions, Inc.	536936	Agent - Life	10/27/2011
Active	Cbiz Life Insurance Solutions, Inc.	536936	Agent - Health	7/13/2018