DEPARTMENT OF INSURANCE

Affiliations

Name	Buell, Mickey Suzette	DOIID	708558	NAIC NPN	11608689

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	6/29/2009	10/31/2016
Inactive	Non Resident	Agent	Life	6/29/2009	10/31/2016
Inactive	Non Resident	Staff Adjuster	Property & Casualty	11/2/2017	10/31/2022
* 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	11/25/2014	10/31/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/25/2014	10/31/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/25/2014	10/31/2016
Inactive	American Continental Insurance Company	643130	Agent - Health	3/7/2013	5/23/2016
Inactive	American Continental Insurance Company	643130	Agent - Life	3/7/2013	12/15/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/1/2015	7/15/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/1/2015	7/15/2015
Inactive	Baltimore Life Insurance Company	300286	Agent - Life	6/13/2012	7/9/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/25/2016	11/17/2016
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/7/2013	10/31/2016
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/7/2013	4/26/2016
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	11/25/2014	10/31/2016
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	11/25/2014	10/31/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/25/2016	11/17/2016
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/16/2013	10/31/2016
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	11/6/2013	12/14/2016
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	11/6/2013	12/14/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Health	5/8/2015	10/31/2016
Inactive	Golden Rule Insurance Company	301943	Agent - Life	5/8/2015	10/31/2016
Inactive	HCC Life Insurance Company	301827	Agent - Health	2/25/2015	10/3/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	5/14/2016	11/17/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	5/14/2016	11/17/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/14/2016	11/17/2016
Inactive	Humana Insurance Company	301104	Agent - Health	5/14/2016	11/17/2016
Inactive	Humana Insurance Company	301104	Agent - Life	5/14/2016	11/17/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/14/2016	11/17/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/14/2016	11/17/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	5/14/2016	11/17/2016
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	11/17/2016
Inactive	Independent Order of Foresters	300743	Agent - Life	6/14/2012	11/5/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/30/2015	11/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/30/2015	11/3/2015
Inactive	Markel Insurance Company	301475	Agent - Health	4/13/2010	12/8/2011
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	12/28/2009	10/31/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	5/8/2015	10/31/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	5/8/2015	10/31/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/1/2015	7/15/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/1/2015	7/15/2015