DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Gary Wayne	DOIID	330254	NAIC NPN	1477621

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	4/25/1970	9/30/2007
Inactive	Resident	Agent	Life	4/25/1970	9/30/2007
* 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	Anthem Life Insurance Company	301209	Agent - Health	10/31/1995	6/7/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/31/1995	6/7/2000
Inactive	Columbus Life Insurance Company	301227	Agent - Health	1/29/1997	10/24/1997
Inactive	Columbus Life Insurance Company	301227	Agent - Life	3/26/2001	10/7/2002
Inactive	Continental General Insurance Company	300691	Agent - Health	7/30/1990	12/13/2001
Inactive	Continental General Insurance Company	300691	Agent - Life	7/30/1990	12/13/2001
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	11/4/1998	12/31/1998
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/7/2005	9/30/2007
Inactive	Humana Insurance Company	301104	Agent - Health	7/7/2005	9/30/2007
Inactive	Humana Insurance Company	301104	Agent - Life	7/7/2005	9/30/2007
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/7/2005	9/30/2007
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/7/2005	9/30/2007
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	8/28/1996	5/15/1997
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	8/28/1996	5/15/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Health	8/11/2000	11/7/2002
Inactive	John Alden Life Insurance Company	300573	Agent - Life	8/11/2000	11/7/2002
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	7/20/1993	3/31/1997
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	7/20/1993	3/31/1997
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/19/2002	9/23/2003
Inactive	New England Life Insurance Company	300343	Agent - Health	9/10/1999	12/31/2006
Inactive	New England Life Insurance Company	300343	Agent - Life	9/10/1999	12/31/2006
Inactive	Northwestern Long Term Care Insurance Company	300135	Agent - Health	8/18/2003	10/9/2003
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	7/1/2003	3/28/2005
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	7/1/2003	3/28/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/27/2005	9/30/2007
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/27/2005	9/30/2007
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/27/2005	9/30/2007
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/27/2005	9/30/2007
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	4/25/1970	9/26/2002
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	4/25/1970	9/26/2002
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	5/18/1982	9/26/2002
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	5/18/1982	9/26/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	10/17/1995	6/19/2000
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	10/17/1995	6/19/2000