DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchum, Richard Allen	DOIID	328102	NAIC NPN	1467063

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	10/20/2006	3/1/2023
Active	Non Resident	Agent	Casualty	6/5/2017		3/31/2027
Active	Non Resident	Agent	Health	6/12/2017		3/31/2027
Active	Non Resident	Agent	Life	6/12/2017		3/31/2027
Active	Non Resident	Agent	Property	6/5/2017		3/31/2027
Inactive	Resident	Agent	Health Maintenance Organization	10/4/1989	3/1/2001
Inactive	Non Resident	Life & Health Consultant	Not Applicable	6/7/1995	2/22/2023
Inactive	Resident	Solicitor	General Lines	4/11/1995	7/14/2000
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	5/25/2006	4/1/2011
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	5/25/2006	4/1/2011
Inactive	American General Life Insurance Company	301585	Agent - Health	12/16/2019	12/23/2019
Inactive	American General Life Insurance Company	301585	Agent - Life	12/16/2019	12/23/2019
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	5/14/1998	9/29/2005
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	5/14/1998	9/29/2005
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	11/27/2006	5/25/2009
Inactive	American United Life Insurance Company	300498	Agent - Health	4/17/2020	11/15/2023
Inactive	American United Life Insurance Company	300498	Agent - Life	4/17/2020	11/15/2023
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	2/20/1990	3/1/2001
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/8/2020	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/12/2020	4/15/2025
Inactive	Athene Annuity and Life Company	301893	Agent - Life	9/19/2008	5/29/2009
Inactive	Avemco Insurance Company	300669	Agent - Health	8/8/2002	6/15/2005
Inactive	Banner Life Insurance Company	301696	Agent - Life	9/9/2016	4/1/2017
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	1/12/2019	10/5/2021
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	1/12/2019	10/5/2021
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	4/17/1992	4/15/2005
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	4/17/1992	4/15/2005
Inactive	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	2/16/2007	4/1/2011
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Health	11/21/1991	3/31/1997
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Life	11/21/1991	3/31/1997
Inactive	Companion Life Insurance Company	300191	Agent - Health	5/17/2007	4/1/2011
Inactive	Companion Life Insurance Company	300191	Agent - Life	5/17/2007	4/1/2011
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	2/16/2007	4/1/2011
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	2/16/2007	4/1/2011
Inactive	Continental Casualty Company	301019	Agent - Health	8/21/1992	12/18/2002
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	1/6/2009	4/6/2011
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	1/6/2009	4/6/2011
Active	Equitable Financial Life Insurance Company of America	301772	Agent - Health	6/21/2022
Active	Equitable Financial Life Insurance Company of America	301772	Agent - Life	6/21/2022
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	3/21/2024
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	2/27/2019	12/1/2022
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	2/27/2019	12/1/2022
Inactive	First Colony Life Insurance Company	301179	Agent - Life	7/22/2005	1/1/2007
Inactive	General American Life Insurance Company	300280	Agent - Health	12/11/1991	11/25/1996
Inactive	General American Life Insurance Company	300280	Agent - Life	12/11/1991	11/25/1996
Inactive	Genworth Life Insurance Company	300623	Agent - Health	8/8/2000	1/6/2006
Inactive	Genworth Life Insurance Company	300623	Agent - Life	8/8/2000	1/6/2006
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	5/5/2009	4/1/2011
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	4/1/2011
Active	Gerber Life Insurance Company	300529	Agent - Health	5/3/2024
Active	Gerber Life Insurance Company	300529	Agent - Life	5/3/2024
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	5/9/1995	9/8/2000
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	5/9/1995	9/8/2000
Active	Guardian Life Insurance Company of America	301316	Agent - Health	1/12/2019
Active	Guardian Life Insurance Company of America	301316	Agent - Life	1/12/2019
Inactive	HCC Life Insurance Company	301827	Agent - Health	6/5/2012	4/1/2013
Inactive	HCC Life Insurance Company	301827	Agent - Life	6/5/2012	4/1/2013
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	2/9/2006	4/1/2011
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	2/9/2006	4/1/2011
Inactive	Health Resources Inc.	301210	Agent - Health	11/8/2019	12/12/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/6/2009	4/1/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	10/4/1989	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	5/6/2009	4/1/2011
Inactive	Humana Insurance Company	301104	Agent - Life	5/6/2009	4/1/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/6/2009	4/1/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/6/2009	4/1/2011
Inactive	Indianapolis Life Insurance Company	301381	Agent - Life	9/25/2007	10/1/2008
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	9/8/2000	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	9/8/2000	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	11/10/1994	4/28/1997
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	11/10/1994	4/28/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Health	10/12/1989	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	10/12/1989	3/31/1997
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/6/2009	4/1/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/6/2009	4/1/2011
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	3/11/2002	1/23/2008
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	3/11/2002	1/23/2008
Inactive	Life Insurance Company of Georgia	300267	Agent - Health	12/11/1996	4/21/2000
Inactive	Life Insurance Company of Georgia	300267	Agent - Life	12/11/1996	4/21/2000
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	12/30/1992	3/31/1997
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/5/2018
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/5/2018
Active	Markel Insurance Company	301475	Agent - Health	4/5/2024
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	12/10/1998	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	12/10/1998	3/31/2001
Inactive	Midland National Life Insurance Company	300923	Agent - Health	2/8/2000	8/7/2001
Inactive	Midland National Life Insurance Company	300923	Agent - Life	7/20/2005	8/22/2007
Inactive	Nassau Life Insurance Company	301406	Agent - Health	8/23/1995	12/14/2004
Inactive	Nassau Life Insurance Company	301406	Agent - Life	8/23/1995	12/14/2004
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	5/31/2018
Inactive	Old Republic Life Insurance Company	301214	Agent - Health	4/19/1991	12/15/2004
Inactive	Old Republic Life Insurance Company	301214	Agent - Life	4/19/1991	12/15/2004
Inactive	PHL Variable Insurance Company	300525	Agent - Health	8/9/1995	12/9/2008
Inactive	PHL Variable Insurance Company	300525	Agent - Life	8/9/1995	2/22/2007
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	7/7/1989	11/10/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	7/7/1989	11/10/2004
Inactive	Pruco Life Insurance Company	300954	Agent - Health	1/30/2007	4/1/2011
Inactive	Pruco Life Insurance Company	300954	Agent - Life	1/30/2007	4/1/2011
Inactive	QBE Insurance Corporation	300515	Agent - Health	6/22/2010	4/1/2011
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	10/25/2000	9/16/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	10/25/2000	9/16/2004
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	11/1/2013	4/1/2015
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	11/1/2013	4/1/2015
Inactive	Sagicor Life Insurance Company	300459	Agent - Life	12/30/2020	9/13/2022
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	11/29/1990	3/31/1997
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	11/29/1990	3/31/1997
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	8/21/1990	12/19/2001
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	8/21/1990	12/19/2001
Active	SiriusPoint America Insurance Company	301148	Agent - Casualty	2/9/2022
Active	SiriusPoint America Insurance Company	301148	Agent - Health	4/27/2020
Active	SiriusPoint America Insurance Company	301148	Agent - Property	2/9/2022
Inactive	Southland Life Insurance Company	301175	Agent - Life	2/21/1998	2/25/2003
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	4/8/1992	3/31/1997
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	4/8/1992	3/31/1997
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Health	7/1/1993	3/31/1997
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Life	7/1/1993	3/31/1997
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	1/25/1990	3/31/1997
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	1/25/1990	3/31/1997
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	6/25/1999	11/15/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	6/25/1999	11/15/2004
Inactive	Trustmark Insurance Company	300317	Agent - Health	4/26/1991	3/31/1997
Inactive	Trustmark Insurance Company	300317	Agent - Life	4/26/1991	3/31/1997
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	10/1/2001	9/27/2007
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	10/1/2001	9/27/2007
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	9/7/1995	5/24/2001
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	9/7/1995	5/24/2001
Active	United of Omaha Life Insurance Company	300156	Agent - Health	7/4/2018
Active	United of Omaha Life Insurance Company	300156	Agent - Life	7/4/2018
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/8/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/8/1995	3/31/1997
Inactive	West Coast Life Insurance Company	301607	Agent - Life	5/3/2007	12/15/2008
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	11/7/1996	4/17/1998
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	11/7/1996	4/17/1998
Inactive	Wilco Life Insurance Company	300122	Agent - Health	11/9/1999	4/27/2001
Inactive	Wilco Life Insurance Company	300122	Agent - Life	11/9/1999	4/27/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	7/1/1993	2/28/2003
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	7/1/1993	2/28/2003
Inactive	Automobile Business Management Inc.	399520	Agent - Health	2/8/1990	3/31/1997
Inactive	Automobile Business Management Inc.	399520	Agent - Life	2/8/1990	3/31/1997
Active	Designated Agent Company Inc.	681257	Agent - Health	7/4/2018
Active	Designated Agent Company Inc.	681257	Agent - Life	1/12/2019
Denied	Epic Ins Solutions Agency Llc	961527	Agent - Health
Denied	Epic Ins Solutions Agency Llc	961527	Agent - Life
Denied	Epic Ins Solutions Agency Llc	961527	Agent - Casualty
Denied	Epic Ins Solutions Agency Llc	961527	Agent - Property
Denied	Epic Ins Solutions LLC	802896	Agent - Health
Denied	Epic Ins Solutions LLC	802896	Agent - Life
Denied	Epic Ins Solutions LLC	802896	Agent - Casualty
Denied	Epic Ins Solutions LLC	802896	Agent - Property
Active	Fifth Third Insurance Agency Inc	399341	Agent - Health	11/12/2018
Active	Fifth Third Insurance Agency Inc	399341	Agent - Life	11/12/2018
Denied	Fifth Third Insurance Agency Inc	399341	Agent - Casualty
Denied	Fifth Third Insurance Agency Inc	399341	Agent - Property
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Midwestern Insurance Alliance Inc.	401257	Agent - Health	2/20/2004	4/1/2011
Inactive	Midwestern Insurance Alliance Inc.	401257	Agent - Life	2/20/2004	4/1/2011
Inactive	Preferred Health Plan Inc.	397836	Administrator - Not Applicable	1/9/2008	3/31/2016
Inactive	Stauffer Financial Services Inc.	400391	Agent - Health	2/9/1990	5/31/2004
Inactive	Stauffer Financial Services Inc.	400391	Agent - Life	2/9/1990	5/31/2004