DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bussing, Mia Shamon	DOIID	1180199	NAIC NPN	18037291

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	12/28/2021		7/31/2025
Active	Non Resident	Agent	Life	12/28/2021		7/31/2025
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AAA Life Insurance Company	300287	Agent - Health	1/4/2022	7/5/2024
Inactive	AAA Life Insurance Company	300287	Agent - Life	1/4/2022	7/5/2024
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	1/3/2022	4/27/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/3/2022	7/6/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/3/2022	4/27/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	1/3/2022	7/6/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Trucordia Insurance Services, LLC	976137	Agent - Life
Pending	Trucordia Insurance Services, LLC	976137	Agent - Health