DEPARTMENT OF INSURANCE

Affiliations

Name	Hussein, Mongoth	DOIID	1222779	NAIC NPN	19435919

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/12/2022	5/31/2026
Active	Non Resident	Agent	Life	5/17/2024	5/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	8/21/2022	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/7/2024
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/17/2022
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	6/7/2024
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/17/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	8/17/2022
Active	American General Life Insurance Company	301585	Agent - Health	8/23/2024
Active	American General Life Insurance Company	301585	Agent - Life	8/23/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/13/2024	12/16/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/13/2024	12/16/2024
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	6/9/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/13/2024	12/16/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/7/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/7/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	8/5/2024
Active	Molina Healthcare of Kentucky, Inc.	1035856	Agent - Health	8/14/2024
Active	SilverScript Insurance Company	663526	Agent - Health	8/17/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/9/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/11/2022	12/22/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/9/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assurance IQ, LLC	919554	Agent - Health	3/28/2023	5/15/2024
Active	Mac Insurance Group	1341303	Agent - Health	5/21/2024
Active	Mac Insurance Group	1341303	Agent - Life	5/21/2024