DEPARTMENT OF INSURANCE
Affiliations
NameMertz, Cleo LucasDOIID782303NAIC NPN16527295
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife5/19/20123/31/2014 
InactiveNon ResidentAgentHealth5/19/20123/31/2014 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCompBenefits Dental, Inc.591692Agent - Health7/24/20129/3/2013
InactiveConnecticut General Life Insurance Company301333Agent - Health5/24/20123/31/2014
InactiveConnecticut General Life Insurance Company301333Agent - Life5/24/20123/31/2014
InactiveDental Concern Inc. (The)301641Agent - Health7/24/20129/3/2013
InactiveFirst Health Life & Health Insurance Company301735Agent - Health5/25/20123/31/2014
InactiveHumana Health Plan, Inc.300142Agent - Health7/24/20129/3/2013
InactiveHumana Insurance Company301104Agent - Health7/23/20129/3/2013
InactiveHumana Insurance Company301104Agent - Life7/23/20129/3/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Health7/24/20129/3/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Life7/24/20129/3/2013
InactiveKanawha Insurance Company300127Agent - Health7/24/20129/3/2013
InactiveKanawha Insurance Company300127Agent - Life7/24/20129/3/2013
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life12/12/20133/31/2014
InactiveDesignated Agent Company Inc.681257Agent - Health12/12/20133/31/2014
InactiveShepherd Retirement Services LLC713679Agent - Life5/31/20123/31/2014
InactiveShepherd Retirement Services LLC713679Agent - Health5/31/20123/31/2014

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