DEPARTMENT OF INSURANCE
Affiliations
NameDavis, Mitchell StevenDOIID641091NAIC NPN8853275
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth1/8/2020 6/30/2025
InactiveNon ResidentAgentLife9/29/20066/30/2009 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent04/15/202506/30/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/20212/1/2023
ActiveAetna Health Inc. (PA)660717Agent - Health3/3/2020 
InactiveAetna Health and Life Insurance Company300523Agent - Health6/16/20212/1/2023
ActiveAetna Health of Ohio Inc.1065035Agent - Health5/10/2024 
ActiveAetna Life Insurance Company301140Agent - Health3/3/2020 
ActiveAmerican General Life Insurance Company301585Agent - Health5/22/2024 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health2/22/202110/31/2022
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/23/202110/31/2022
InactiveAnthem Insurance Companies, Inc.300941Agent - Health9/23/202110/31/2022
InactiveArcadian Health Plan, Inc.728196Agent - Health5/3/20235/25/2023
ActiveCIGNA Health & Life Insurance Company301783Agent - Health9/13/2022 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
InactiveCompBenefits Insurance Company301864Agent - Health5/3/20235/25/2023
InactiveCompcare Health Services Insurance Corporation948751Agent - Health9/16/202110/31/2022
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health6/16/20212/1/2023
ActiveDevoted Health Insurance Company of Kentucky, Inc.1306593Agent - Health4/1/2025 
InactiveGPM Health and Life Insurance Company927255Agent - Health7/8/202110/17/2022
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health4/9/202010/27/2020
InactiveHumana Insurance Company301104Agent - Health5/3/20235/25/2023
InactiveHumana Medical Plan, Inc.801568Agent - Health5/3/20235/25/2023
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health8/20/202010/27/2020
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health5/27/2023 
InactiveMutual of Omaha Insurance Company301012Agent - Health7/8/20211/23/2023
ActiveSilverScript Insurance Company663526Agent - Health5/10/2024 
InactiveTime Insurance Company300683Agent - Health1/18/20076/30/2009
InactiveTime Insurance Company300683Agent - Life1/18/20076/30/2009
InactiveUnited World Life Insurance Company300532Agent - Health7/8/20211/23/2023
InactiveUnited of Omaha Life Insurance Company300156Agent - Health7/8/20211/23/2023
ActiveUnitedHealthcare Insurance Company300946Agent - Health3/23/2020 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health3/23/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/23/202012/23/2021
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health3/23/2020 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health1/17/20222/26/2023
InactiveWellCare Prescription Insurance Inc.654329Agent - Health3/15/202012/30/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveQw Insurance Solutions, LLC1047634Agent - Health9/13/202112/15/2021

© Commonwealth of Kentucky. All rights reserved.