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DEPARTMENT OF INSURANCE
Affiliations
Name
Mitro, Edward J
DOIID
349179
NAIC NPN
3390327
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Denied
Resident
Agent
Property
Denied
Resident
Agent
Casualty
Inactive
Resident
Agent
Health Maintenance Organization
2/23/1999
3/1/2001
Pending Replacement
Resident
Agent
Life
9/19/2012
6/30/2024
Pending Replacement
Resident
Agent
Health
9/19/2012
6/30/2024
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
04/15/2024
06/30/2024
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
4 Ever Life Insurance Company
301307
Agent - Health
9/30/2003
12/14/2010
Inactive
4 Ever Life Insurance Company
301307
Agent - Life
9/30/2003
12/14/2010
Inactive
Aetna Health Inc.
300694
Agent - Health
7/8/2003
12/31/2007
Pending Replacement
Aetna Health Inc. (PA)
660717
Agent - Health
6/5/2013
Pending Replacement
Aetna Life Insurance Company
301140
Agent - Health
6/5/2013
Pending Replacement
Aetna Life Insurance Company
301140
Agent - Life
6/5/2013
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
7/8/2003
11/21/2007
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
7/8/2003
11/21/2007
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
11/26/2002
5/4/2012
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Life
11/26/2002
5/4/2012
Inactive
American Heritage Life Insurance Company
300272
Agent - Health
11/25/2002
6/23/2008
Inactive
American Heritage Life Insurance Company
300272
Agent - Life
11/25/2002
6/23/2008
Pending Replacement
Hartford Life and Accident Insurance Company
300878
Agent - Health
11/12/2012
Pending Replacement
Hartford Life and Accident Insurance Company
300878
Agent - Life
11/12/2012
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
10/16/2012
7/10/2013
Inactive
Humana Insurance Company
301104
Agent - Health
10/16/2012
7/10/2013
Inactive
Humana Insurance Company
301104
Agent - Life
10/16/2012
7/10/2013
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
10/16/2012
7/10/2013
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
10/16/2012
7/10/2013
Inactive
HumanaDental Insurance Company
301457
Agent - Health
10/31/2006
2/22/2012
Inactive
HumanaDental Insurance Company
301457
Agent - Life
10/31/2006
2/22/2012
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
7/8/2003
2/2/2005
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
4/14/2004
6/11/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
4/14/2004
6/11/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Health
4/14/2004
4/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Life
4/14/2004
4/2/2007
Inactive
Kanawha Insurance Company
300127
Agent - Health
10/16/2012
7/10/2013
Inactive
Kanawha Insurance Company
300127
Agent - Life
10/16/2012
7/10/2013
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
3/22/2007
6/11/2007
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
3/22/2007
6/11/2007
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
3/10/2004
7/1/2012
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
3/10/2004
7/1/2012
Inactive
Principal Life Insurance Company
300129
Agent - Health
7/8/2003
12/8/2008
Inactive
Principal Life Insurance Company
300129
Agent - Life
7/8/2003
12/8/2008
Inactive
Professional Insurance Company
301281
Agent - Health
4/29/2004
11/3/2009
Inactive
Professional Insurance Company
301281
Agent - Life
4/29/2004
11/3/2009
Inactive
Sun Life Assurance Company of Canada
301811
Agent - Health
10/23/2009
8/22/2011
Inactive
Sun Life Assurance Company of Canada
301811
Agent - Life
10/23/2009
8/22/2011
Inactive
Sun Life and Health Insurance Company (U.S.)
300801
Agent - Health
2/5/2004
8/22/2011
Inactive
Sun Life and Health Insurance Company (U.S.)
300801
Agent - Life
2/5/2004
8/22/2011
Inactive
United Concordia Dental Plans of Kentucky Inc.
301923
Agent - Health
10/22/2003
12/8/2008
Inactive
United Concordia Life and Health Insurance Company
301220
Agent - Health
10/22/2003
12/8/2008
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
12/5/2005
12/14/2009
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
12/5/2005
12/14/2009
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
12/5/2005
12/14/2009
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health Maintenance Organization
2/23/1999
3/1/2001
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
12/5/2005
12/14/2009
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Assuredpartners Nl, Llc
762387
Agent - Life
7/13/2020
7/24/2023
Inactive
Assuredpartners Nl, Llc
762387
Agent - Health
7/13/2020
7/24/2023
Inactive
Dental Choice Agency Inc.
398085
Agent - Health
5/17/2013
3/30/2016
Pending Replacement
Designated Agent Company Inc.
681257
Agent - Life
12/2/2013
Pending Replacement
Designated Agent Company Inc.
681257
Agent - Health
12/2/2013
Inactive
Neace Lukens, Inc.
398909
Agent - Life
6/17/2002
7/1/2012
Inactive
Neace Lukens, Inc.
398909
Agent - Health
6/17/2002
7/1/2012
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