DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Terri G	DOIID	1051549	NAIC NPN	19237799

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/13/2019	12/31/2024
Active	Non Resident	Agent	Life	8/13/2019	12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	7/18/2023	11/17/2023
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/10/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	5/29/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/15/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/10/2019
Active	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/24/2021
Active	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/24/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	9/10/2019
Active	Anthem Life Insurance Company	301209	Agent - Life	9/10/2019
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/3/2019
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022
Active	Chesapeake Life Insurance Company (The)	301017	Agent - Health	7/10/2020
Active	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/24/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/29/2020
Active	Guardian Life Insurance Company of America	301316	Agent - Health	9/12/2019
Active	Guardian Life Insurance Company of America	301316	Agent - Life	9/12/2019
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/15/2019	12/13/2022
Active	Humana Insurance Company	301104	Agent - Health	10/17/2019
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	8/26/2019	12/27/2022
Inactive	Medco Containment Life Insurance Company	301557	Agent - Health	10/22/2020	6/25/2021
Active	Monitor Life Insurance Company of New York	1117550	Agent - Health	2/1/2023
Active	Monitor Life Insurance Company of New York	1117550	Agent - Life	2/1/2023
Active	SilverScript Insurance Company	663526	Agent - Health	9/17/2019
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/28/2019
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/28/2019	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/28/2019	12/23/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/28/2019
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	11/22/2022
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	10/22/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Designated Agent Company Inc.	681257	Agent - Life	9/10/2019
Active	Designated Agent Company Inc.	681257	Agent - Health	9/10/2019
Active	Extend Insurance Services, LLC	625753	Agent - Life	9/10/2019
Active	Extend Insurance Services, LLC	625753	Agent - Health	9/3/2019