DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mack, Demetrius Monwel	DOIID	717340	NAIC NPN	8996849

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/4/2009	2/29/2012
Inactive	Non Resident	Agent	Health	11/4/2009	2/29/2012
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	1/26/2010	2/29/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/26/2010	2/29/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Life	1/26/2010	2/29/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	2/29/2012
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	12/8/2009	2/16/2010
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	12/8/2009	2/16/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/2/2009	2/29/2012
Inactive	Humana Insurance Company	301104	Agent - Health	11/16/2009	2/29/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/25/2010	2/29/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/26/2010	2/29/2012
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	4/5/2010	12/8/2010
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	4/5/2010	12/8/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	4/15/2010	2/29/2012
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	4/15/2010	2/29/2012