DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	ETL Holdings LLC DBA : ETL Holdings LLC	DOIID	875644	NAIC NPN	17564682

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	4/21/2015		3/31/2025
Active	Resident	Agent	Health	4/21/2015		3/31/2025
* 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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Horace Mann Life Insurance Company	300852	Agent - Health	9/8/2020
Active	Horace Mann Life Insurance Company	300852	Agent - Life	9/8/2020
Active	National Teachers Associates Life Insurance Company	300107	Agent - Health	5/4/2015
Active	National Teachers Associates Life Insurance Company	300107	Agent - Life	5/4/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Lamb, Evan Todd	535025	Agent - Health	4/21/2015
Active	Lamb, Evan Todd	535025	Agent - Life	4/21/2015