DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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		8/31/2027
Active	Non Resident	Agent	Health	1/20/2026		8/31/2027
* 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 - Life	11/7/2024	12/19/2025
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	1/23/2026
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/24/2026
Active	Aetna Life Insurance Company	301140	Agent - Health	1/24/2026
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	7/14/2022	12/17/2024
Active	American General Life Insurance Company	301585	Agent - Life	8/15/2024
Inactive	American National Insurance Company	301861	Agent - Life	11/20/2017	9/4/2024
Active	C.M. Life Insurance Company	301335	Agent - Life	4/5/2021
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	1/10/2018	9/4/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/23/2026
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	11/7/2024	12/19/2025
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	SilverScript Insurance Company	663526	Agent - Health	1/24/2026
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/24/2024	9/6/2024
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	2/1/2026

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