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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	06/15/2025	08/31/2025
Agent	06/15/2025	08/31/2025

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
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2020	11/1/2024
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2020	11/1/2024
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