DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Mark W	DOIID	335439	NAIC NPN	637475

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	4/30/1996	3/31/2018
Inactive	Non Resident	Agent	Life	1/28/2002	3/31/2018
* 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	4/30/1996	3/21/2006
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	1/28/2002	3/21/2006
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	11/14/2014	3/31/2018
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	6/18/2009	3/31/2018
Inactive	Delaware Life Insurance Company	301256	Agent - Life	1/28/2002	2/23/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	3/8/2006	1/1/2007
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	10/3/2003	12/7/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	5/29/2009	12/7/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/18/1996	4/19/2001
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/18/1996	4/19/2001
Inactive	MetLife Investors Insurance Company	301872	Agent - Health	6/22/2009	11/14/2014
Inactive	MetLife Investors Insurance Company	301872	Agent - Life	6/22/2009	11/14/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	6/19/2009	11/14/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	6/19/2009	11/14/2014
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Health	10/19/2003	12/7/2007
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	10/19/2003	12/7/2007
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	6/19/2009	4/28/2018
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	6/19/2009	4/28/2018
Inactive	Pacific Life Insurance Company	301848	Agent - Life	1/28/2002	12/29/2006
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Life	1/28/2002	10/9/2012
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	4/30/1996	11/24/2009
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	1/28/2002	11/24/2009
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	4/30/1996	11/24/2009
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	1/28/2002	11/24/2009
Inactive	Transamerica Advisors Life Insurance Company	300539	Agent - Health	4/30/1996	7/2/2009
Inactive	Transamerica Advisors Life Insurance Company	300539	Agent - Life	1/28/2002	7/2/2009
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	9/16/1996	7/19/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	1/3/2005	7/19/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Merrill Lynch Life Agency Inc.	400527	Agent - Life	1/28/2002	6/5/2009
Inactive	Merrill Lynch Life Agency Inc.	400527	Agent - Health	7/5/2001	6/5/2009
Inactive	Sbhu Life Agency Inc	689591	Agent - Life	6/2/2009	3/31/2018
Inactive	Sbhu Life Agency Inc	689591	Agent - Health	6/2/2009	3/31/2018