DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Donna Thomas	DOIID	342365	NAIC NPN	7188123

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	12/16/1991	3/17/1998
Inactive	Resident	Agent	Health	12/26/1990	4/2/1998
Inactive	Resident	Agent	Life	12/26/1990	4/2/1998
* 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	10/10/1996	3/17/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/10/1996	3/17/1998
Inactive	Assurance Company of America	300432	Agent - General Lines	11/18/1994	3/31/1996
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	1/18/1996	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	1/18/1996	3/31/1997
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	4/4/1996	3/9/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	4/4/1996	3/9/1998
Inactive	Cotton States Mutual Insurance Company	300269	Agent - General Lines	12/16/1991	3/31/1996
Inactive	Countryway Insurance Company	300809	Agent - General Lines	12/22/1992	3/17/1998
Inactive	Golden Rule Insurance Company	301943	Agent - Health	2/21/1995	3/17/1998
Inactive	Golden Rule Insurance Company	301943	Agent - Life	2/21/1995	3/17/1998
Inactive	Lincoln General Insurance Company	301580	Agent - General Lines	10/29/1993	3/17/1998
Inactive	Maryland Casualty Company	301719	Agent - General Lines	11/18/1994	3/31/1996
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	7/2/1996	12/27/1996
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	7/2/1996	12/27/1996
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	1/23/1997	3/17/1998
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	1/23/1997	3/17/1998
Inactive	Redland Insurance Company	300687	Agent - General Lines	6/25/1997	3/17/1998
Inactive	Time Insurance Company	300683	Agent - Health	12/26/1990	3/17/1998
Inactive	Time Insurance Company	300683	Agent - Life	12/26/1990	3/17/1998
Inactive	Union Bankers Insurance Company	301769	Agent - Health	2/4/1993	3/17/1998
Inactive	Union Bankers Insurance Company	301769	Agent - Life	2/4/1993	3/17/1998
Inactive	Union Security Insurance Company	301844	Agent - Health	3/23/1998	4/2/1998
Inactive	Union Security Insurance Company	301844	Agent - Life	3/23/1998	4/2/1998
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/22/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/22/1995	3/31/1997

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	6/25/1996	3/17/1998
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	3/17/1998
Inactive	McConnell Insurance Agency Inc.	400140	Agent - Life	4/17/1996	3/17/1998
Inactive	McConnell Insurance Agency Inc.	400140	Agent - Health	4/17/1996	3/17/1998