DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Muzzall, Mia R	DOIID	778613	NAIC NPN	16346219

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/3/2012	3/3/2015
Inactive	Non Resident	Agent	Health	4/3/2012	3/3/2015
* 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	Anthem Life Insurance Company	301209	Agent - Health	11/6/2014	3/3/2015
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/6/2014	3/3/2015
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/14/2013	4/11/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/14/2013	4/11/2015
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	12/4/2013	4/11/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/17/2013	4/11/2015
Inactive	Humana Insurance Company	301104	Agent - Health	10/14/2013	4/11/2015
Inactive	Humana Insurance Company	301104	Agent - Life	12/4/2013	4/11/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/17/2013	4/11/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/17/2013	4/11/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/14/2013	4/11/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/14/2013	4/11/2015
Inactive	Pruco Life Insurance Company	300954	Agent - Life	5/24/2012	9/19/2012
Inactive	Time Insurance Company	300683	Agent - Health	7/12/2013	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	7/12/2013	12/20/2014
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	5/1/2012	1/18/2013
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	5/1/2012	1/18/2013

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	11/6/2014	3/3/2015
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/6/2014	3/3/2015