DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Menden, Vern	DOIID	655194	NAIC NPN	2656415

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	5/16/2007	5/31/2020
Inactive	Non Resident	Agent	Life	5/16/2007	5/31/2020
* 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	Anthem Life Insurance Company	301209	Agent - Health	10/29/2007	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/29/2007	11/3/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	11/24/2009	8/1/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	11/24/2009	8/1/2011
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	11/24/2009	8/1/2011
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/24/2009	8/1/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/10/2013	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/10/2013	11/2/2016
Inactive	Mercer Health & Benefits LLC	607080	Agent - Health	11/12/2007	7/27/2010
Inactive	Mercer Health & Benefits LLC	607080	Agent - Life	11/12/2007	7/27/2010