DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	ETL Holdings LLC DBA : ETL Holdings LLC	DOIID	875644	NAIC NPN	17564682

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	4/21/2015		3/31/2027
Active	Resident	Agent	Health	4/21/2015		3/31/2027
* 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
Active	Horace Mann Life Insurance Company	300852	Agent - Health	9/8/2020
Active	Horace Mann Life Insurance Company	300852	Agent - Life	9/8/2020
Active	National Teachers Associates Life Insurance Company	300107	Agent - Health	5/4/2015
Active	National Teachers Associates Life Insurance Company	300107	Agent - Life	5/4/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Lamb, Evan Todd	535025	Agent - Health	4/21/2015
Active	Lamb, Evan Todd	535025	Agent - Life	4/21/2015