DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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	Health	8/3/2023		9/30/2026
Active	Non Resident	Agent	Life	12/26/2023		9/30/2026
* 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
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
Inactive	Lumico Life Insurance Company	300354	Agent - Life	2/9/2024	11/14/2024
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	TZ Insurance Solutions LLC	727470	Agent - Health	2/18/2025
Active	TZ Insurance Solutions LLC	727470	Agent - Life	2/18/2025
Inactive	Trubridge Inc	717747	Agent - Health	5/17/2024	2/18/2025
Inactive	Trubridge Inc	717747	Agent - Life	5/17/2024	2/18/2025