DEPARTMENT OF INSURANCE
Affiliations
NameMentel, Jeffery AlanDOIID342884NAIC NPN573363
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty12/5/2007 7/31/2025
ActiveNon ResidentAgentProperty12/5/2007 7/31/2025
ActiveNon ResidentAgentHealth10/27/2003 7/31/2025
ActiveNon ResidentAgentLife10/27/2003 7/31/2025
InactiveNon ResidentAgentHealth Maintenance Organization1/28/19993/1/2001 
ActiveNon ResidentSurplus Lines BrokerNot Applicable9/24/2014 7/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent05/15/202507/31/2025   
Surplus Lines Broker05/15/202507/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAIG Property Casualty Company300621Agent - Casualty11/14/2016 
ActiveAIG Property Casualty Company300621Agent - Property11/14/2016 
ActiveAll Savers Insurance Company301940Agent - Health4/26/2022 
ActiveAll Savers Insurance Company301940Agent - Life4/26/2022 
ActiveAmerican Guarantee and Liability Insurance Company301216Agent - Casualty8/11/2015 
ActiveAmerican Guarantee and Liability Insurance Company301216Agent - Property8/11/2015 
ActiveAmerican Zurich Insurance Company300592Agent - Casualty8/11/2015 
ActiveAmerican Zurich Insurance Company300592Agent - Property8/11/2015 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/10/2022 
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health3/10/202212/19/2024
ActiveAnthem Insurance Companies, Inc.300941Agent - Health3/10/2022 
InactiveAnthem Life Insurance Company301209Agent - Health3/10/20224/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life3/10/20224/15/2025
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty4/28/201611/30/2017
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property4/28/201611/30/2017
ActiveBerkley Regional Insurance Company300920Agent - Casualty10/30/2024 
ActiveBerkley Regional Insurance Company300920Agent - Property10/30/2024 
InactiveC.M. Life Insurance Company301335Agent - Health2/16/20073/6/2007
InactiveC.M. Life Insurance Company301335Agent - Life2/16/20073/6/2007
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty5/20/201611/30/2017
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property5/20/201611/30/2017
InactiveChase Insurance Life and Annuity Company300518Agent - Health10/27/20034/1/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Life10/27/20034/1/2007
ActiveCincinnati Casualty Company (The)300308Agent - Casualty6/22/2021 
ActiveCincinnati Casualty Company (The)300308Agent - Property6/22/2021 
ActiveCincinnati Indemnity Company (The)301566Agent - Casualty6/22/2021 
ActiveCincinnati Indemnity Company (The)301566Agent - Property6/22/2021 
ActiveCincinnati Insurance Company301298Agent - Casualty6/22/2021 
ActiveCincinnati Insurance Company301298Agent - Property6/22/2021 
ActiveCompcare Health Services Insurance Corporation948751Agent - Health3/10/2022 
ActiveFarmington Casualty Company301137Agent - Casualty5/20/2016 
ActiveFarmington Casualty Company301137Agent - Property5/20/2016 
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Health10/27/20033/6/2007
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life10/27/20033/6/2007
InactiveFirst Colony Life Insurance Company301179Agent - Health10/27/20032/2/2005
InactiveFirst Colony Life Insurance Company301179Agent - Life10/27/20032/2/2005
ActiveHartford Fire Insurance Company300628Agent - Casualty6/21/2024 
ActiveHartford Fire Insurance Company300628Agent - Property6/21/2024 
InactiveHartford Life and Accident Insurance Company300878Agent - Health1/7/200811/16/2011
InactiveHartford Life and Accident Insurance Company300878Agent - Life1/7/200811/16/2011
InactiveHumana Health Plan, Inc.300142Agent - Health8/11/20008/12/2002
InactiveHumana Insurance Company300118Agent - Health3/8/199612/12/1997
InactiveHumana Insurance Company300118Agent - Life3/8/199612/12/1997
ActiveIndependence American Insurance Company524747Agent - Casualty11/1/2022 
ActiveIndependence American Insurance Company524747Agent - Property11/1/2022 
ActiveLiberty Mutual Insurance Company301159Agent - Casualty11/21/2019 
ActiveLiberty Mutual Insurance Company301159Agent - Property11/21/2019 
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health2/16/20073/6/2007
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life2/16/20073/6/2007
ActiveOhio Casualty Insurance Company301492Agent - Casualty11/21/2019 
ActiveOhio Casualty Insurance Company301492Agent - Property11/21/2019 
InactivePrincipal Life Insurance Company300129Agent - Health10/27/20033/6/2007
InactivePrincipal Life Insurance Company300129Agent - Life10/27/20033/6/2007
ActivePrivilege Underwriters Reciprocal Exchange769657Agent - Casualty8/22/2017 
ActivePrivilege Underwriters Reciprocal Exchange769657Agent - Property8/22/2017 
InactiveProtective Life Insurance Company300638Agent - Health4/1/200712/29/2009
InactiveProtective Life Insurance Company300638Agent - Life4/1/200712/29/2009
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty5/20/201611/30/2017
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Property5/20/201611/30/2017
InactiveSt. Paul Guardian Insurance Company301372Agent - Casualty5/20/201611/30/2017
InactiveSt. Paul Guardian Insurance Company301372Agent - Property5/20/201611/30/2017
InactiveSt. Paul Mercury Insurance Company300783Agent - Casualty5/20/201611/30/2017
InactiveSt. Paul Mercury Insurance Company300783Agent - Property5/20/201611/30/2017
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty11/21/2016 
ActiveStandard Fire Insurance Company (The)301068Agent - Property11/21/2016 
InactiveThe Phoenix Insurance Company301502Agent - Casualty4/28/201612/9/2019
InactiveThe Phoenix Insurance Company301502Agent - Property4/28/201612/9/2019
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty5/20/201611/30/2017
InactiveTravelers Casualty Insurance Company of America300522Agent - Property5/20/201611/30/2017
ActiveTravelers Casualty and Surety Company301067Agent - Casualty5/20/2016 
ActiveTravelers Casualty and Surety Company301067Agent - Property5/20/2016 
ActiveTravelers Casualty and Surety Company of America301334Agent - Casualty5/20/2016 
ActiveTravelers Casualty and Surety Company of America301334Agent - Property5/20/2016 
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty4/28/201612/15/2020
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property4/28/201612/15/2020
InactiveTravelers Indemnity Company (The)301855Agent - Casualty5/20/201611/30/2017
InactiveTravelers Indemnity Company (The)301855Agent - Property5/20/201611/30/2017
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty5/20/201612/14/2016
InactiveTravelers Indemnity Company of America (The)301093Agent - Property5/20/201612/14/2016
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty5/20/201612/20/2018
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property5/20/201612/20/2018
ActiveTravelers Property Casualty Company of America301649Agent - Casualty5/20/2016 
ActiveTravelers Property Casualty Company of America301649Agent - Property5/20/2016 
InactiveUnitedHealthcare Insurance Company300946Agent - Health4/26/20223/27/2023
InactiveUnitedHealthcare Insurance Company300946Agent - Life4/26/20223/27/2023
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health10/27/200311/21/2005
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health Maintenance Organization1/28/19993/1/2001
ActiveZurich American Insurance Company301121Agent - Casualty8/11/2015 
ActiveZurich American Insurance Company301121Agent - Property8/11/2015 
ActiveZurich American Insurance Company of Illinois301805Agent - Casualty8/11/2015 
ActiveZurich American Insurance Company of Illinois301805Agent - Property8/11/2015 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life10/27/20032/28/2005
InactiveArison Insurance Services, Inc.401001Agent - Health10/27/20032/28/2005
ActiveAssuredpartners Of Missouri LLC828233Surplus Lines Broker - Not Applicable9/30/2014 
InactiveDaniel & Henry Co The522287Agent - Life5/14/200711/16/2011
InactiveDaniel & Henry Co The522287Agent - Health5/14/200711/16/2011
DeniedDaniel & Henry Co The522287Agent - Property  
DeniedDaniel & Henry Co The522287Agent - Casualty  
InactiveDental Choice Agency Inc.398085Agent - Health7/6/201111/16/2011
DeniedDesignated Agent Company Inc.681257Agent - Life  
DeniedDesignated Agent Company Inc.681257Agent - Health  

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