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DEPARTMENT OF INSURANCE
Affiliations
Name
Mitchell, Susan
DOIID
1009138
NAIC NPN
18904298
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
9/11/2018
4/30/2023
Inactive
Non Resident
Agent
Health
9/11/2018
4/30/2023
* 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
Continental American Insurance Company
301700
Agent - Health
3/6/2019
4/30/2023
Inactive
Continental American Insurance Company
301700
Agent - Life
3/6/2019
4/30/2023
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
10/24/2018
10/8/2021
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
10/24/2018
10/8/2021
Inactive
Starmount Life Insurance Company
628031
Agent - Health
10/24/2018
10/8/2021
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
10/24/2018
10/8/2021
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
10/24/2018
10/8/2021
Inactive
Unum Insurance Company
301499
Agent - Health
10/24/2018
10/8/2021
Inactive
Unum Insurance Company
301499
Agent - Life
10/24/2018
10/8/2021
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Mercer Health & Benefits Administration Llc
656414
Agent - Health
2/1/2019
4/30/2023
Inactive
Mercer Health & Benefits Administration Llc
656414
Agent - Life
2/1/2019
4/30/2023
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