DEPARTMENT OF INSURANCE

Affiliations

Name	Mantooth, Wesley L	DOIID	760689	NAIC NPN	7036658

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	2/19/2024	3/31/2025
Active	Non Resident	Agent	Life	2/19/2024	3/31/2025
* 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	9/21/2018	3/31/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/21/2018	3/31/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/21/2018	3/31/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/27/2019	3/31/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/27/2019	3/31/2023
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	10/18/2011	10/12/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	10/18/2011	10/12/2020
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	9/21/2018	6/15/2022
Active	Guardian Life Insurance Company of America	301316	Agent - Health	4/15/2024
Active	Guardian Life Insurance Company of America	301316	Agent - Life	4/15/2024
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	8/26/2011	4/30/2023
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/26/2011	4/30/2023
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/23/2017	4/20/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/23/2017	4/20/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/23/2017	1/22/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/23/2017	1/22/2018
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	12/7/2015	4/25/2023
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/7/2015	4/25/2023
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	4/9/2024
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	4/9/2024
Active	Starmount Life Insurance Company	628031	Agent - Health	4/9/2024
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	12/23/2011	3/31/2023
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	12/23/2011	3/31/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Health	4/9/2024
Active	UNUM Life Insurance Company of America	300817	Agent - Life	4/9/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/11/2013	5/1/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/11/2013	5/1/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	4/19/2017	6/1/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/19/2017	6/1/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	4/19/2017	6/1/2021
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/19/2017	4/30/2018
Active	Unum Insurance Company	301499	Agent - Health	4/9/2024
Active	Unum Insurance Company	301499	Agent - Life	4/9/2024

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 - Life	2/27/2019	3/31/2023
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/27/2019	3/31/2023
Inactive	Gibson Insurance Agency, Inc.	554046	Agent - Life	10/17/2011	3/31/2023
Inactive	Gibson Insurance Agency, Inc.	554046	Agent - Health	10/17/2011	3/31/2023
Active	Hylant Group, Inc.	523019	Agent - Life	4/18/2024
Active	Hylant Group, Inc.	523019	Agent - Health	4/18/2024