DEPARTMENT OF INSURANCE

Affiliations

Name	Avidon, Mitchell	DOIID	765283	NAIC NPN	422374

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	8/9/2013	7/9/2014
Inactive	Non Resident	Agent	Casualty	8/9/2013	7/9/2014
Inactive	Non Resident	Agent	Life	9/29/2011	1/31/2013
Inactive	Non Resident	Agent	Health	9/29/2011	1/31/2013
* 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	12/8/2011	4/4/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Health	12/8/2011	4/4/2012
Inactive	Aetna Life Insurance Company	301140	Agent - Life	12/8/2011	4/4/2012
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	8/14/2013	10/10/2013
Inactive	Allstate Indemnity Company	300778	Agent - Property	8/14/2013	10/10/2013
Inactive	Allstate Insurance Company	300773	Agent - Casualty	8/14/2013	10/10/2013
Inactive	Allstate Insurance Company	300773	Agent - Property	8/14/2013	10/10/2013
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/14/2013	10/10/2013
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/14/2013	10/10/2013
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	8/30/2012	1/31/2013
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	8/30/2012	1/31/2013
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/10/2012	1/31/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	10/12/2011	1/31/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	10/12/2011	1/31/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/8/2011	1/31/2013
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	11/3/2011	1/31/2013
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	1/31/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/8/2011	1/31/2013
Inactive	Humana Insurance Company	301104	Agent - Health	11/8/2011	1/31/2013
Inactive	Humana Insurance Company	301104	Agent - Life	11/8/2011	1/31/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/8/2011	1/31/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/8/2011	1/31/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/24/2011	12/14/2011
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	10/24/2011	12/14/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Health	1/20/2012	1/31/2013
Inactive	HealthMarkets Insurance Agency Inc	709727	Agent - Life	1/20/2012	1/31/2013