DEPARTMENT OF INSURANCE

Affiliations

Name	Mentink, James	DOIID	1193891	NAIC NPN	20238939

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/2/2026		7/31/2028
Active	Non Resident	Agent	Health	10/2/2026		7/31/2028
Inactive	Non Resident	Agent	Personal Lines	3/17/2022	7/31/2024
* 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	Accendo Insurance Company	300312	Agent - Life	10/6/2026
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	4/16/2023	7/31/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/12/2026
Active	Aetna Life Insurance Company	301140	Agent - Health	10/12/2026
Inactive	American General Life Insurance Company	301585	Agent - Health	2/9/2023	7/9/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/26/2022	12/16/2022
Inactive	Cimarron Insurance Company, Inc.	300842	Agent - Personal Lines	5/19/2022	6/15/2022
Active	Combined Insurance Company of America	301472	Agent - Health	10/26/2026
Active	Combined Insurance Company of America	301472	Agent - Life	10/26/2026
Inactive	Progressive Direct Insurance Company	301379	Agent - Personal Lines	12/29/2022	2/13/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/6/2023	7/31/2024
Inactive	Sierra Health and Life Insurance Company Inc.	300357	Agent - Health	8/26/2022	12/16/2022
Active	SilverScript Insurance Company	663526	Agent - Health	10/12/2026
Inactive	Starmount Life Insurance Company	628031	Agent - Health	10/6/2023	7/31/2024
Active	Tier One Insurance Company	301056	Agent - Health	10/15/2026
Active	Tier One Insurance Company	301056	Agent - Life	10/15/2026
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/6/2023	7/31/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/26/2022	12/16/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/26/2022	12/16/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/26/2022	12/16/2022
Inactive	Unum Insurance Company	301499	Agent - Health	10/6/2023	7/31/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ttec Financial Services Management LLC	881063	Agent - Personal Lines	1/20/2023	2/13/2023