DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Deena Gail	DOIID	816194	NAIC NPN	17024431

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	8/13/2013	7/1/2016
Inactive	Resident	Agent	Health	9/24/2013	7/1/2016
* 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	Time Insurance Company	300683	Agent - Health	3/5/2014	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	3/5/2014	12/20/2014
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Health	9/25/2013	6/8/2015
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	8/26/2013	6/8/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Life	11/12/2013	6/8/2015
Inactive	Woodmen Insurance Agency, Inc.	579244	Agent - Health	11/12/2013	6/8/2015