DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell Jr, Donald Martin	DOIID	718578	NAIC NPN	15323112

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	12/17/2009	1/1/2014
Inactive	Resident	Agent	Life	12/17/2009	1/1/2014
* 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	1/26/2010	7/30/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/26/2010	7/30/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/26/2010	7/30/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/12/2010	1/1/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/12/2010	1/1/2014
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	4/9/2010	1/1/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/4/2010	1/1/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Health	3/4/2010	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	3/4/2010	7/2/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/4/2010	1/1/2014
Inactive	Gerber Life Insurance Company	300529	Agent - Health	9/21/2010	12/17/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	9/21/2010	12/17/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/10/2010	5/12/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/10/2010	5/12/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/4/2010	1/1/2014
Inactive	Humana Insurance Company	301104	Agent - Health	6/8/2010	1/1/2014
Inactive	Humana Insurance Company	301104	Agent - Life	6/8/2010	1/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/4/2010	1/1/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/4/2010	1/1/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/8/2010	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/8/2010	4/25/2013
Inactive	Markel Insurance Company	301475	Agent - Health	2/10/2010	12/19/2011
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	9/17/2010	12/26/2012
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	2/23/2010	1/1/2014
Inactive	Time Insurance Company	300683	Agent - Health	1/14/2010	11/17/2011
Inactive	Time Insurance Company	300683	Agent - Life	1/14/2010	11/17/2011
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/17/2010	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/17/2010	12/26/2012

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 - Health	2/12/2010	1/1/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/12/2010	1/1/2014
Inactive	Medlink Inc	400721	Agent - Health	5/13/2010	1/1/2014
Inactive	Medlink Inc	400721	Agent - Life	5/13/2010	1/1/2014
Inactive	Stephens-Matthews Marketing, LLC	526938	Agent - Health	5/24/2010	1/1/2014
Inactive	Stephens-Matthews Marketing, LLC	526938	Agent - Life	5/24/2010	1/1/2014