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DEPARTMENT OF INSURANCE
Affiliations
Name
Mize, Destiny
DOIID
1001192
NAIC NPN
18767107
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Property
7/16/2018
4/30/2021
Inactive
Non Resident
Agent
Casualty
7/16/2018
4/30/2021
Inactive
Non Resident
Agent
Health
7/26/2019
4/30/2021
* 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
Aetna Health Inc. (PA)
660717
Agent - Health
9/18/2019
4/30/2021
Inactive
Aetna Health and Life Insurance Company
300523
Agent - Health
8/27/2019
4/30/2021
Inactive
Aetna Life Insurance Company
301140
Agent - Health
9/18/2019
4/30/2021
Inactive
Bristol West Insurance Company
301655
Agent - Casualty
11/1/2018
4/17/2019
Inactive
Bristol West Insurance Company
301655
Agent - Property
11/1/2018
4/17/2019
Inactive
Continental Life Insurance Company of Brentwood Tennessee
301526
Agent - Health
8/27/2019
4/30/2021
Inactive
SilverScript Insurance Company
663526
Agent - Health
9/18/2019
4/30/2021
Inactive
WellCare Health Insurance Company of Kentucky, Inc.
301478
Agent - Health
2/10/2020
5/4/2020
Inactive
WellCare Prescription Insurance Inc.
654329
Agent - Health
2/10/2020
5/4/2020
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Denied
Clear Link Ins Agency LLC
805173
Agent - Property
Denied
Clear Link Ins Agency LLC
805173
Agent - Casualty
Inactive
Clear Link Ins Agency LLC
805173
Agent - Health
8/27/2019
4/28/2020
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