DEPARTMENT OF INSURANCE

Affiliations

Name	Muntz, Derrick	DOIID	926019	NAIC NPN	17949467

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/25/2016	4/30/2026
Active	Non Resident	Agent	Life	8/25/2016	4/30/2026
Active	Non Resident	Agent	Personal Lines	12/6/2022	4/30/2026
* 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	Accendo Insurance Company	300312	Agent - Health	3/15/2023	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	4/7/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/17/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	3/15/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/17/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/17/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/1/2020
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/26/2021	12/9/2022
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2021	12/9/2022
Active	Anthem Life Insurance Company	301209	Agent - Health	9/1/2020
Active	Anthem Life Insurance Company	301209	Agent - Life	9/1/2020
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/28/2016
Active	CIGNA Health & Life Insurance Company	301783	Agent - Life	10/28/2016
Inactive	Capitol Life Insurance Company	301514	Agent - Health	8/1/2020	12/1/2022
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/13/2023
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/9/2020	12/12/2022
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2021	12/9/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/15/2023
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	4/7/2023
Inactive	Electric Insurance Company	301758	Agent - Personal Lines	12/8/2022	2/15/2023
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/19/2022	12/1/2022
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Personal Lines	12/13/2022	2/16/2023
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Personal Lines	12/13/2022	2/16/2023
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	9/18/2017	8/22/2019
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/28/2021	5/18/2023
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/28/2021	5/18/2023
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/21/2020	12/6/2022
Inactive	Humana Insurance Company	301104	Agent - Health	4/1/2022	12/6/2022
Inactive	Humana Insurance Company	301104	Agent - Life	1/8/2018	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/8/2018	6/8/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/8/2018	6/8/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	8/19/2017	12/21/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	8/19/2017	12/21/2018
Inactive	Lumico Life Insurance Company	300354	Agent - Health	9/8/2019	12/1/2022
Inactive	Lumico Life Insurance Company	300354	Agent - Life	6/29/2021	1/27/2023
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	9/13/2016
Inactive	Medico Corp Life Insurance Company	301777	Agent - Health	11/7/2016	4/5/2018
Inactive	Medico Corp Life Insurance Company	301777	Agent - Life	11/7/2016	4/5/2018
Active	National Health Insurance Company	300554	Agent - Health	11/22/2023
Active	National Health Insurance Company	300554	Agent - Life	11/22/2023
Inactive	Omaha Insurance Company	751908	Agent - Health	4/12/2017	8/8/2018
Inactive	SILAC Insurance Company	300535	Agent - Health	8/29/2016	3/30/2018
Inactive	SILAC Insurance Company	300535	Agent - Life	8/29/2016	3/30/2018
Active	SilverScript Insurance Company	663526	Agent - Health	9/17/2020
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	8/9/2018	5/8/2023
Inactive	Tier One Insurance Company	301056	Agent - Health	8/3/2023	2/7/2024
Active	Tier One Insurance Company	301056	Agent - Life	8/3/2023
Inactive	United States Fire Insurance Company	582240	Agent - Health	4/12/2023	12/27/2023
Inactive	United World Life Insurance Company	300532	Agent - Health	2/28/2022	1/23/2023
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/13/2023
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/2/2020	11/4/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/2/2020	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/13/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/7/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Life	2/26/2021	6/30/2022
Inactive	Smart Match Insurance Agency LLC	829381	Agent - Health	2/26/2021	6/30/2022
Inactive	Spring Ins Solutions LLC	788951	Agent - Life	11/20/2019	10/5/2020
Inactive	Spring Ins Solutions LLC	788951	Agent - Health	11/20/2019	10/5/2020