DEPARTMENT OF INSURANCE

Affiliations

Name	Mitchell, Jason A	DOIID	889411	NAIC NPN	3744376

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	9/1/2015	6/30/2018
Inactive	Non Resident	Agent	Life	9/1/2015	6/30/2018
Inactive	Non Resident	Agent	Health	9/1/2015	6/30/2018
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Integrity Life Insurance Company	301687	Agent - Life	10/15/2015	6/30/2018
Inactive	Integrity Life Insurance Company	301687	Agent - Variable Life and Variable Annuities	10/15/2015	6/30/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Life	10/15/2015	6/30/2018
Denied	Fifth Third Insurance Agency Inc	399341	Agent - Health
Inactive	Fifth Third Insurance Agency Inc	399341	Agent - Variable Life and Variable Annuities	10/15/2015	6/30/2018