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		7/31/2027
Active	Non Resident	Agent	Life	12/28/2021		7/31/2027
* 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	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
Denied	Trucordia Insurance Services, LLC	976137	Agent - Life
Denied	Trucordia Insurance Services, LLC	976137	Agent - Health