DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Otto, L M	DOIID	674181	NAIC NPN	10321187

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	8/3/2022		11/30/2025
Active	Resident	Agent	Health	8/3/2022		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	CompBenefits Dental, Inc.	591692	Agent - Health	7/23/2013	6/30/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/23/2013	6/30/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/7/2008	6/30/2017
Inactive	Humana Insurance Company	301104	Agent - Health	11/7/2008	6/30/2017
Inactive	Humana Insurance Company	301104	Agent - Life	11/7/2008	6/30/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/17/2008	6/30/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/12/2008	6/30/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/17/2013	5/26/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/17/2013	5/26/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hauser , Inc.	502110	Agent - Health	9/9/2016	6/30/2017
Inactive	Hauser , Inc.	502110	Agent - Life	9/9/2016	6/30/2017
Inactive	Humana Inc.	395807	Agent - Health	7/20/2011	3/31/2013
Inactive	Humana Inc.	395807	Agent - Life	7/20/2011	3/31/2013