DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Roy Pierre	DOIID	634828	NAIC NPN	1023900

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	6/30/2006	7/31/2011
Inactive	Non Resident	Agent	Life	6/30/2006	7/31/2011
* 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	1/25/2007	7/31/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/25/2007	7/31/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	9/14/2006	7/31/2011
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	9/14/2006	7/31/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/1/2007	7/31/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Health	3/1/2007	7/31/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	3/1/2007	7/31/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	7/31/2011
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	9/14/2006	7/31/2011
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	9/14/2006	7/31/2011
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/10/2006	7/31/2011
Inactive	Humana Insurance Company	301104	Agent - Health	7/10/2006	7/31/2011
Inactive	Humana Insurance Company	301104	Agent - Life	7/10/2006	7/31/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/10/2006	7/31/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/10/2006	7/31/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Health	9/17/2007	7/31/2011
Inactive	HumanaDental Insurance Company	301457	Agent - Life	9/17/2007	7/31/2011
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/8/2010	7/31/2011
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/5/2010	7/31/2011
Inactive	Principal Life Insurance Company	300129	Agent - Health	7/26/2006	11/25/2009
Inactive	Principal Life Insurance Company	300129	Agent - Life	7/26/2006	11/25/2009
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/7/2006	7/31/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/7/2006	7/31/2011
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/7/2006	7/31/2011
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/7/2006	7/31/2011

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	1/25/2007	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	1/25/2007	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/24/2008	7/31/2011
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/24/2008	7/31/2011