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
Denied	Resident	Agent	Property
Denied	Resident	Agent	Casualty
Inactive	Resident	Agent	Health	9/19/2012	7/1/2024
Inactive	Resident	Agent	Life	9/19/2012	7/1/2024
Inactive	Resident	Agent	Health Maintenance Organization	2/23/1999	3/1/2001
* 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	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
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	6/5/2013	7/1/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/5/2013	7/1/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/5/2013	7/1/2024
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
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	11/12/2012	7/30/2024
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	11/12/2012	7/30/2024
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
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/2/2013	7/1/2024
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/2/2013	7/1/2024
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