DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Katherine Ora	DOIID	313291	NAIC NPN	5952568

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	9/21/1998	7/1/2004
Inactive	Resident	Agent	Prepaid Dental Plan	8/31/2000	3/1/2001
Inactive	Resident	Agent	Health	9/21/1998	7/1/2004
* 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	Aetna Health Inc.	300694	Agent - Health	9/15/2000	7/1/2004
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/15/2000	7/1/2004
Inactive	Aetna Life Insurance Company	301140	Agent - Life	9/15/2000	7/1/2004
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	11/8/2000	2/1/2001
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	11/8/2000	2/1/2001
Denied	Baptist Health Plan, Inc.	300157	Agent - Health
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	9/21/1998	6/6/2001
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	9/21/1998	6/6/2001
Inactive	Genworth Life Insurance Company	300623	Agent - Health	3/27/2001	7/1/2004
Inactive	Genworth Life Insurance Company	300623	Agent - Life	3/27/2001	7/1/2004
Inactive	Health Resources Inc.	301210	Agent - Health	3/1/2001	3/31/2003
Inactive	Health Resources Inc.	301210	Agent - Prepaid Dental Plan	8/31/2000	3/1/2001
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	9/13/2001	8/14/2003
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	9/13/2001	8/14/2003
Inactive	National Teachers Associates Life Insurance Company	300107	Agent - Health	4/6/2001	7/26/2001
Inactive	National Teachers Associates Life Insurance Company	300107	Agent - Life	4/6/2001	7/26/2001
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	9/18/2000	12/11/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	9/18/2000	12/11/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/18/2000	7/1/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/18/2000	7/1/2004
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	8/30/2001	11/15/2001
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	8/30/2001	11/15/2001
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/6/2000	2/12/2003
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/6/2000	2/12/2003
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	9/18/2000	7/1/2004
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	9/18/2000	7/1/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	National Teacher Associates of Kentucky Inc.	399320	Agent - Life	4/9/2001	12/19/2001
Inactive	National Teacher Associates of Kentucky Inc.	399320	Agent - Health	4/9/2001	12/19/2001