DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Timothy Jay	DOIID	651739	NAIC NPN	1726245

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/18/2024		9/30/2025
Active	Non Resident	Agent	Health	3/13/2017		9/30/2025
Active	Non Resident	Agent	Property	7/18/2024		9/30/2025
Active	Non Resident	Agent	Life	3/13/2017		9/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Life Insurance Company	301585	Agent - Health	2/21/2023	6/4/2024
Inactive	American General Life Insurance Company	301585	Agent - Life	2/21/2023	6/4/2024
Inactive	Pruco Life Insurance Company	300954	Agent - Life	4/14/2017	12/24/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Life	6/15/2009	10/25/2012
Inactive	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Health	6/15/2009	10/25/2012