DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Shroyer, Mitchell	DOIID	1289678	NAIC NPN	20775984

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	12/26/2023		9/30/2026
Active	Non Resident	Agent	Health	8/3/2023		9/30/2026
* 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
Agent	07/15/2024	09/30/2024	09/19/2024	09/19/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/25/2023
Active	Humana Insurance Company	301104	Agent - Health	11/21/2023
Active	Humana Medical Plan, Inc.	801568	Agent - Health	12/4/2023
Active	Lumico Life Insurance Company	300354	Agent - Life	2/9/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Health	1/16/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Life	1/16/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Trubridge Inc	717747	Agent - Health	5/17/2024
Active	Trubridge Inc	717747	Agent - Life	5/17/2024