DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Keeyon M	DOIID	1161889	NAIC NPN	19366290

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/24/2021	8/19/2024
Inactive	Non Resident	Agent	Life	9/24/2021	8/19/2024
Active	Non Resident	Staff Adjuster	Property & Casualty	11/15/2024		2/28/2026
* 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
Staff Adjuster	12/15/2025	02/28/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	7/28/2023	11/17/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	9/28/2021	8/19/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	10/4/2021	5/8/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/28/2021	8/19/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/28/2021	8/19/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/29/2021	2/1/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/29/2021	2/1/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/29/2021	2/1/2024
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/11/2021	8/19/2024
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	10/18/2023	1/29/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	10/4/2021	2/9/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	10/4/2021	2/9/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/29/2021	2/1/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/30/2021	5/8/2024
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	10/21/2021	8/19/2024
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	10/21/2021	8/19/2024
Inactive	Humana Insurance Company	301104	Agent - Health	11/17/2023	1/30/2024
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	9/30/2021	12/27/2022
Inactive	Medco Containment Life Insurance Company	301557	Agent - Health	12/12/2023	3/5/2024
Inactive	Monitor Life Insurance Company of New York	1117550	Agent - Health	8/19/2023	1/30/2024
Inactive	Monitor Life Insurance Company of New York	1117550	Agent - Life	10/5/2023	1/30/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/28/2021	8/19/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/25/2021	9/22/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/25/2021	9/22/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/18/2023	1/29/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	9/27/2021	10/28/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	9/27/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	10/18/2023	1/29/2024
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	11/22/2023	2/25/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Extend Insurance Services LLC	625753	Agent - Life	10/4/2021	2/1/2024
Inactive	Extend Insurance Services LLC	625753	Agent - Health	9/29/2021	2/1/2024