DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Michael Sean	DOIID	662695	NAIC NPN	6761685

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/28/2007	5/31/2026
Active	Non Resident	Agent	Life	8/28/2007	5/31/2026
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	1/18/2012	8/18/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/18/2012	8/18/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/18/2012	8/18/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/19/2007	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/19/2007	12/10/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	11/27/2017	7/11/2024
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	11/27/2017	7/11/2024
Active	Combined Insurance Company of America	301472	Agent - Health	3/5/2021
Active	Combined Insurance Company of America	301472	Agent - Life	3/5/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/19/2019	12/19/2019
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	11/27/2017	10/5/2021
Active	Guardian Life Insurance Company of America	301316	Agent - Health	11/27/2017
Active	Guardian Life Insurance Company of America	301316	Agent - Life	11/27/2017
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/21/2011	1/30/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/21/2011	1/30/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/19/2019	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Health	8/19/2019	12/19/2019
Inactive	Humana Insurance Company	301104	Agent - Life	8/19/2019	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/19/2019	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/19/2019	12/19/2019

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 - Health	9/19/2007	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	9/19/2007	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/24/2008	12/13/2020
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/24/2008	12/13/2020
Active	Marsh & Mclennan Agency LLC	716460	Agent - Health	11/6/2017
Active	Marsh & Mclennan Agency LLC	716460	Agent - Life	11/6/2017