DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wong, Mona S	DOIID	852991	NAIC NPN	17372153

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/22/2014	10/31/2023
Inactive	Non Resident	Agent	Life	1/6/2017	10/31/2023
* 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	Arcadian Health Plan, Inc.	728196	Agent - Health	5/2/2018	12/13/2022
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/20/2017	6/8/2018
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	6/26/2018	12/13/2022
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/4/2019	12/13/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/13/2018	12/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	6/26/2018	3/28/2023
Inactive	Humana Insurance Company	301104	Agent - Life	6/26/2018	3/28/2023
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/30/2014	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/20/2017	6/8/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	5/26/2020	3/28/2023
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	3/29/2021	12/13/2022
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	12/26/2017	10/31/2023
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	12/26/2017	10/31/2023
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/30/2014	10/22/2015
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/25/2018	12/29/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/25/2018	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Trubridge Inc	717747	Agent - Health	2/2/2016	12/5/2022