DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mundorff, Westen	DOIID	1013552	NAIC NPN	18920697

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/21/2019	7/31/2021
Inactive	Non Resident	Agent	Health	10/4/2018	7/31/2021
* 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	Arcadian Health Plan, Inc.	728196	Agent - Health	11/16/2020	7/31/2021
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/16/2020	7/31/2021
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/24/2020	7/31/2021
Inactive	Humana Insurance Company	301104	Agent - Health	12/7/2020	7/31/2021
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/10/2020	7/31/2021
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/14/2019	8/22/2021
Inactive	United World Life Insurance Company	300532	Agent - Health	12/14/2019	8/22/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/14/2019	8/22/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/30/2019	8/22/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Trubridge Inc	717747	Agent - Health	12/5/2018	6/12/2021