PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameSample, Mandy DOIID898574NAIC NPN17774363
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth11/19/2015 4/30/2027
ActiveResidentAgentLife11/19/2015 4/30/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent02/15/202504/30/202503/13/202503/13/2025Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican United Life Insurance Company300498Agent - Health1/11/20179/29/2023
InactiveAmerican United Life Insurance Company300498Agent - Life1/11/20179/29/2023
InactiveAnthem Life Insurance Company301209Agent - Health1/25/20173/31/2025
InactiveAnthem Life Insurance Company301209Agent - Life1/25/20173/31/2025
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Life1/26/20173/31/2025
InactiveDesignated Agent Company Inc.681257Agent - Health1/26/20173/31/2025
InactiveKentucky Hospital Service Company of Kentucky, LLC401254Agent - Life1/25/20172/23/2018
InactiveKentucky Hospital Service Company of Kentucky, LLC401254Agent - Health1/25/20172/23/2018

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