DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Annah, Lauretta Mbang	DOIID	972930	NAIC NPN	3116825

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	10/13/2017	7/31/2022
Inactive	Non Resident	Agent	Health	10/13/2017	7/31/2022
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	7/26/2018	7/31/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/7/2020	7/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/26/2018	7/31/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/26/2018	7/31/2022
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	7/26/2018	7/31/2022
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/13/2019	10/8/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/13/2019	10/8/2021
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	8/23/2019	12/18/2020
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	8/23/2019	12/18/2020
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/23/2019	7/31/2022
Inactive	Starmount Life Insurance Company	628031	Agent - Health	8/13/2019	10/8/2021
Inactive	Trustmark Insurance Company	300317	Agent - Health	10/4/2018	5/4/2022
Inactive	Trustmark Insurance Company	300317	Agent - Life	10/4/2018	5/4/2022
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	8/13/2019	10/8/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	8/13/2019	10/8/2021
Inactive	Unum Insurance Company	301499	Agent - Health	8/13/2019	10/8/2021
Inactive	Unum Insurance Company	301499	Agent - Life	8/13/2019	10/8/2021
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/24/2019	7/31/2022
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/24/2019	12/23/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Optavise, LLC	671337	Agent - Life	10/5/2018	4/20/2020
Inactive	Optavise, LLC	671337	Agent - Health	10/5/2018	4/20/2020