DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Renata M	DOIID	353087	NAIC NPN	230843

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/18/2002		11/30/2025
Active	Non Resident	Agent	Life	4/30/2002		11/30/2025
Active	Non Resident	Agent	Variable Life and Variable Annuities	4/30/2002		11/30/2025
Inactive	Resident	Agent	Health Maintenance Organization	1/30/1985	3/1/2001
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/28/2014
Active	Aetna Health Insurance Company	301583	Agent - Health	9/28/2014
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	5/4/2018
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/28/2014
Active	Aetna Life Insurance Company	301140	Agent - Life	9/28/2014
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	1/8/1999	12/31/2001
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	1/8/1999	12/31/2001
Inactive	American Continental Insurance Company	643130	Agent - Life	5/4/2018	8/11/2021
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/12/2005	12/14/2015
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/12/2005	12/14/2015
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	7/2/2008	12/31/2008
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	7/2/2008	12/31/2008
Inactive	American National Insurance Company	301861	Agent - Health	10/17/1990	3/31/1997
Inactive	American National Insurance Company	301861	Agent - Life	10/17/1990	3/31/1997
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/16/2020	4/28/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	5/25/1988	3/1/2001
Active	Anthem Life Insurance Company	301209	Agent - Health	12/12/2019
Active	Anthem Life Insurance Company	301209	Agent - Life	12/12/2019
Active	Banner Life Insurance Company	301696	Agent - Life	11/10/2021
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/27/2001	12/31/2001
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	6/27/2001	12/31/2001
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	3/2/1993	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	3/2/1993	3/31/1997
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	8/13/2015	12/6/2016
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	8/13/2015	12/6/2016
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	1/23/1987	3/31/1997
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	1/23/1987	3/31/1997
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	12/15/2009	6/15/2018
Inactive	CompBenefits Insurance Company	301864	Agent - Health	12/15/2009	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	12/15/2009	7/2/2013
Inactive	CompDent Corporation	301387	Agent - Health	3/17/2003	12/23/2004
Inactive	Companion Life Insurance Company	300191	Agent - Health	4/17/1992	10/18/1999
Inactive	Companion Life Insurance Company	300191	Agent - Life	4/17/1992	10/18/1999
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	4/6/1994	3/9/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	4/6/1994	3/9/1998
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/4/2018
Inactive	Delaware Life Insurance Company	301256	Agent - Life	4/28/2004	12/13/2006
Inactive	Delaware Life Insurance Company	301256	Agent - Variable Life and Variable Annuities	4/28/2004	12/13/2006
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2002	6/15/2018
Inactive	Direct General Life Insurance Company	301045	Agent - Health	7/3/1996	5/13/1999
Inactive	Direct General Life Insurance Company	301045	Agent - Life	7/3/1996	5/13/1999
Inactive	First Colony Life Insurance Company	301179	Agent - Health	3/9/2004	12/20/2006
Inactive	First Colony Life Insurance Company	301179	Agent - Life	3/9/2004	12/20/2006
Active	First Health Life & Health Insurance Company	301735	Agent - Health	9/28/2014
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	6/19/1996	12/31/2001
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	6/19/1996	12/31/2001
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/26/1986	11/12/1998
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/26/1986	11/12/1998
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	7/11/1986	12/31/2001
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	7/11/1986	12/31/2001
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	6/15/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/14/2014	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/21/2007	6/15/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	1/30/1985	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	12/2/2019	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Life	3/21/2007	4/29/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/2/2008	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/2/2008	6/15/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	6/15/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	6/15/2018
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/18/2002	2/23/2012
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	10/24/1988	8/14/1996
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	10/24/1988	8/14/1996
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/14/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/14/2014	10/22/2015
Inactive	LifeUSA Insurance Company	300386	Agent - Health	1/8/1999	12/31/2001
Inactive	LifeUSA Insurance Company	300386	Agent - Life	1/8/1999	12/31/2001
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/29/2023	4/9/2024
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/29/2023	4/9/2024
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	6/29/2023	4/9/2024
Inactive	Lumico Life Insurance Company	300354	Agent - Health	7/1/2020	11/25/2020
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	2/21/2000	3/31/2001
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	2/21/2000	3/31/2001
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/5/1997	12/31/2001
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Health	9/27/1990	12/31/2001
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Life	4/30/2002	4/1/2015
Active	National Health Insurance Company	300554	Agent - Health	7/29/2019
Active	National Health Insurance Company	300554	Agent - Life	7/29/2019
Inactive	New York Life Insurance Company	300431	Agent - Health	4/30/2002	3/1/2018
Inactive	New York Life Insurance Company	300431	Agent - Life	4/30/2002	3/1/2018
Inactive	New York Life Insurance Company	300431	Agent - Variable Life and Variable Annuities	4/30/2002	4/6/2015
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	4/30/2002	3/1/2018
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	4/30/2002	3/1/2018
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Variable Life and Variable Annuities	4/30/2002	3/1/2018
Inactive	Pacific Life & Annuity Company	300443	Agent - Health	3/17/1992	3/31/1997
Inactive	Pacific Life & Annuity Company	300443	Agent - Life	3/17/1992	3/31/1997
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	7/30/1997	12/31/2001
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	7/25/1995	3/31/1997
Inactive	Principal Life Insurance Company	300129	Agent - Health	5/17/1993	12/31/2001
Inactive	Principal Life Insurance Company	300129	Agent - Life	5/17/1993	12/31/2001
Inactive	Professional Insurance Company	301281	Agent - Health	10/16/1991	3/31/1997
Inactive	Professional Insurance Company	301281	Agent - Life	10/16/1991	3/31/1997
Inactive	Protective Life Insurance Company	300638	Agent - Health	8/26/2021	11/23/2023
Inactive	Protective Life Insurance Company	300638	Agent - Life	8/26/2021	11/23/2023
Inactive	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	8/26/2021	11/23/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/16/2004	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/16/2004	12/30/2009
Inactive	Pruco Life Insurance Company	300954	Agent - Health	12/1/2004	12/22/2008
Inactive	Pruco Life Insurance Company	300954	Agent - Life	12/1/2004	12/22/2008
Inactive	Prudential Insurance Company of America	300784	Agent - Health	11/6/1996	12/31/2001
Inactive	Prudential Insurance Company of America	300784	Agent - Life	11/6/1996	12/31/2001
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	10/24/1996	12/31/2001
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	10/24/1996	12/31/2001
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	7/2/2001	12/31/2001
Inactive	ReliaStar Life Insurance Company	301712	Agent - Variable Life and Variable Annuities	7/2/2001	12/31/2001
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	12/30/1996	12/31/2001
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	12/30/1996	12/31/2001
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Inactive	Time Insurance Company	300683	Agent - Health	2/11/2003	12/27/2006
Inactive	Time Insurance Company	300683	Agent - Life	2/11/2003	12/27/2006
Inactive	Trustmark Insurance Company	300317	Agent - Health	5/4/1992	3/31/1997
Inactive	Trustmark Insurance Company	300317	Agent - Life	5/4/1992	3/31/1997
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	4/28/2000	12/31/2001
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	4/28/2000	12/31/2001
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	9/16/2004	12/30/2009
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	9/16/2004	12/30/2009
Inactive	Union Security Insurance Company	301844	Agent - Health	12/6/2002	1/11/2015
Inactive	Union Security Insurance Company	301844	Agent - Life	12/6/2002	1/11/2015
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/14/1996	5/6/1999
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/14/1996	5/6/1999
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	10/20/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	4/2/2004	5/28/2009
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/16/2016	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/20/1993	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/20/1993	3/31/1997
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/15/2018	12/23/2021
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	2/19/1999	3/1/2001
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/20/2011	12/5/2016
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/13/2015
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	10/26/2019	4/8/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	4/8/2021
Inactive	Woodmen Accident and Life Company	300147	Agent - Health	4/16/1997	12/28/1998
Inactive	Woodmen Accident and Life Company	300147	Agent - Life	4/16/1997	12/28/1998
Inactive	Zurich American Life Insurance Company	300216	Agent - Life	8/31/1994	12/31/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	5/26/1994	12/31/2001
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	5/26/1994	12/31/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	4/5/2004	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	4/5/2004	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/12/2019	4/29/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/12/2019	4/29/2021
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Medlink Inc	400721	Agent - Life	1/13/2012	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	1/13/2012	3/31/2024
Active	Planchoice Inc.	400482	Agent - Life	3/5/2003
Active	Planchoice Inc.	400482	Agent - Health	3/5/2003
Inactive	Roland Associates Inc.	398075	Agent - Life	5/27/1998	12/31/2001
Inactive	Roland Associates Inc.	398075	Agent - Health	5/27/1998	12/31/2001
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	8/9/2001	12/31/2001
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	8/9/2001	12/31/2001