DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Stacey L	DOIID	817420	NAIC NPN	16409303

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/15/2013		6/30/2026
Active	Non Resident	Agent	Life	8/15/2013		6/30/2026
* 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
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/8/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/8/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	9/8/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/11/2018
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/1/2021	12/19/2024
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	10/1/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/12/2021	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/12/2021	4/15/2025
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	10/1/2021
Inactive	Humana Insurance Company	301104	Agent - Health	12/6/2021	12/12/2024
Active	SilverScript Insurance Company	663526	Agent - Health	9/8/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/8/2021
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/23/2018	12/21/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	6/8/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/8/2021	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/8/2021
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/14/2021

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 - Health	10/11/2018	2/10/2025