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
Pending Replacement	Non Resident	Agent	Life	12/26/2023		9/30/2026
Pending Replacement	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	07/15/2026	09/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	10/25/2023	12/12/2025
Inactive	Humana Insurance Company	301104	Agent - Health	11/21/2023	12/12/2025
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	12/4/2023	12/12/2025
Inactive	Lumico Life Insurance Company	300354	Agent - Life	2/9/2024	11/14/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/16/2024	10/31/2025
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/16/2024	10/31/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	2/18/2025	11/19/2025
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	2/18/2025	10/31/2025
Inactive	Trubridge Inc	717747	Agent - Health	5/17/2024	2/18/2025
Inactive	Trubridge Inc	717747	Agent - Life	5/17/2024	2/18/2025