DEPARTMENT OF INSURANCE

Affiliations

Name	Umensetter, Mary Kathleen	DOIID	345886	NAIC NPN	7189618

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	2/11/1991	12/29/2010
Inactive	Resident	Agent	Health Maintenance Organization	2/11/1991	3/1/2001
Inactive	Resident	Agent	Life	2/11/1991	12/29/2010
* 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	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	8/2/2004
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	2/11/1991	3/1/2001
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	8/22/1997	7/29/1999
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	8/22/1997	7/29/1999
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Health	4/27/1994	3/31/1997
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Life	4/27/1994	3/31/1997
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	12/31/2004	12/29/2010
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	12/31/2004	12/29/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	12/19/2009
Inactive	First Colony Life Insurance Company	301179	Agent - Health	2/11/2004	12/20/2006
Inactive	First Colony Life Insurance Company	301179	Agent - Life	2/11/2004	12/20/2006
Inactive	Genworth Life Insurance Company	300623	Agent - Health	12/1/2004	12/29/2010
Inactive	Genworth Life Insurance Company	300623	Agent - Life	12/1/2004	12/29/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/29/2008	12/19/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	4/24/1991	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	10/29/2008	12/19/2009
Inactive	Humana Insurance Company	301104	Agent - Life	10/29/2008	12/19/2009
Inactive	Medical Life Insurance Company	300693	Agent - Health	2/11/1991	12/31/2004
Inactive	Medical Life Insurance Company	300693	Agent - Life	2/11/1991	12/31/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	8/29/1997	1/3/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	8/29/1997	1/3/2003
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	2/16/2004	12/15/2006
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	2/16/2004	12/15/2006
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/23/1995	5/7/1999
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/9/2005	10/23/2006
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/9/2005	10/23/2006
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/9/2005	10/23/2006
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	9/22/1999	3/1/2001
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/9/2005	10/23/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	7/1/1993	2/28/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	7/1/1993	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	1/26/2000	5/10/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	1/26/2000	5/10/2001