DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Robinson, Mitzi R	DOIID	324024	NAIC NPN	1029113

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/19/2022		6/30/2026
Active	Non Resident	Agent	Health	10/19/2022		6/30/2026
Inactive	Non Resident	Agent	Health Maintenance Organization	11/17/1995	3/1/2001
* 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	04/15/2026	06/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc.	300694	Agent - Health	3/3/2000	3/11/2002
Inactive	Aetna Health Insurance Company	301583	Agent - Health	11/17/1999	8/31/2004
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/17/1999	3/11/2002
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/17/1999	3/11/2002
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/23/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/19/2022	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/19/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/23/2023	3/31/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/23/2023	3/31/2025
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/19/2022
Inactive	Prudential Health Care Plan Inc.	301342	Agent - Health	3/1/2001	3/11/2002
Inactive	Prudential Health Care Plan Inc.	301342	Agent - Health Maintenance Organization	11/17/1995	3/1/2001
Inactive	Prudential Insurance Company of America	300784	Agent - Health	9/28/1995	8/31/2004
Inactive	Prudential Insurance Company of America	300784	Agent - Life	9/28/1995	8/31/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/21/2019	6/30/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/21/2019	6/30/2022