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	3/31/2027
Active	Non Resident	Agent	Life	2/19/2024	3/31/2027
* 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
Agent	01/15/2025	03/31/2025	02/03/2025	02/03/2025	Yes

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