DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mentink, Jim	DOIID	1193891	NAIC NPN	20238939

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	3/17/2022	7/31/2024
Inactive	Non Resident	Agent	Health	8/24/2022	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
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	4/16/2023	7/31/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	4/16/2023	7/31/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/16/2023	7/31/2024
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
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
Inactive	SilverScript Insurance Company	663526	Agent - Health	4/16/2023	7/31/2024
Inactive	Starmount Life Insurance Company	628031	Agent - Health	10/6/2023	7/31/2024
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