DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Lavada	DOIID	381101	NAIC NPN	2877819

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	11/2/1994	12/1/2000
Inactive	Resident	Agent	Life	11/2/1994	12/1/2000
* 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	Chase Life and Annuity Company	300145	Agent - Health	6/27/1995	12/11/1996
Inactive	Chase Life and Annuity Company	300145	Agent - Life	6/27/1995	12/11/1996
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	11/14/1996	2/24/1997
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	11/14/1996	2/24/1997
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	6/15/1998	12/1/2000
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	6/15/1998	12/1/2000
Inactive	Companion Life Insurance Company	300191	Agent - Health	11/2/1994	9/18/1998
Inactive	Companion Life Insurance Company	300191	Agent - Life	11/2/1994	9/18/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	12/22/1995	3/9/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	12/22/1995	3/9/1998
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	6/23/1999	12/1/2000
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	9/19/1995	12/31/1998
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	9/19/1995	12/31/1998
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	12/16/1996	2/19/1999
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	12/16/1996	2/19/1999
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/5/1996	12/1/2000
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	5/27/1997	12/1/2000
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	5/27/1997	12/1/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997