DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mott, Lelis R	DOIID	968370	NAIC NPN	18492210

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/18/2017		8/31/2025
* 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
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	7/14/2022
Active	American National Insurance Company	301861	Agent - Life	11/20/2017
Active	C.M. Life Insurance Company	301335	Agent - Life	4/5/2021
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	1/10/2018
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/19/2021	12/1/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Life	8/29/2018	12/19/2022
Active	Pacific Life Insurance Company	301848	Agent - Life	2/22/2024
Inactive	Protective Life Insurance Company	300638	Agent - Life	6/28/2021	11/23/2023
Inactive	Pruco Life Insurance Company	300954	Agent - Life	10/31/2017	8/22/2018
Active	United of Omaha Life Insurance Company	300156	Agent - Life	4/24/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Crump Life Insurance Services LLC	505491	Agent - Life	10/31/2017	6/28/2024