DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Otto, L M	DOIID	674181	NAIC NPN	10321187

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	8/3/2022		11/30/2027
Active	Resident	Agent	Life	8/3/2022		11/30/2027
* 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	09/15/2025	11/30/2025	06/19/2025	06/19/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/23/2013	6/30/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/23/2013	6/30/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/7/2008	6/30/2017
Inactive	Humana Insurance Company	301104	Agent - Health	11/7/2008	6/30/2017
Inactive	Humana Insurance Company	301104	Agent - Life	11/7/2008	6/30/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/17/2008	6/30/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/12/2008	6/30/2017
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/17/2013	5/26/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/17/2013	5/26/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hauser , Inc.	502110	Agent - Health	9/9/2016	6/30/2017
Inactive	Hauser , Inc.	502110	Agent - Life	9/9/2016	6/30/2017
Inactive	Humana Inc.	395807	Agent - Health	7/20/2011	3/31/2013
Inactive	Humana Inc.	395807	Agent - Life	7/20/2011	3/31/2013