DEPARTMENT OF INSURANCE

Affiliations

Name	Seymore, Mia	DOIID	925007	NAIC NPN	17994068

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	8/17/2016	2/28/2026
Active	Non Resident	Agent	Life	8/17/2016	2/28/2026
* 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	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Active	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/31/2020	8/6/2024
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	11/22/2016
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/31/2020	8/6/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/31/2020	8/6/2024
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/3/2023	4/1/2024
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	9/3/2023	4/1/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/3/2023	4/1/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/1/2019	4/26/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/1/2019	4/26/2021
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	2/3/2021
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	10/10/2019	6/30/2020
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/21/2022	6/3/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/3/2023	4/1/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/6/2018
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	5/14/2022
Active	Dental Concern Inc. (The)	301641	Agent - Health	11/21/2022
Inactive	GPM Health and Life Insurance Company	927255	Agent - Health	5/6/2019	2/20/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/4/2019	9/29/2020
Active	Humana Medical Plan, Inc.	801568	Agent - Health	11/20/2020
Inactive	Lumico Life Insurance Company	300354	Agent - Life	10/10/2019	12/20/2022
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/2/2019	2/20/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/31/2020	8/6/2024
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	8/17/2022
Inactive	United World Life Insurance Company	300532	Agent - Health	5/2/2019	2/20/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/2/2019	2/20/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/2/2019	2/20/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/12/2021	6/3/2024
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/12/2021	12/22/2022
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/12/2021	12/23/2021
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/12/2021	6/3/2024

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 - Life	10/1/2019	4/27/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	10/1/2019	4/27/2021
Active	Ensurem II LLC	908041	Agent - Life	7/7/2020
Active	Ensurem II LLC	908041	Agent - Health	7/7/2020
Denied	TZ Insurance Solutions LLC	727470	Agent - Life
Inactive	TZ Insurance Solutions LLC	727470	Agent - Health	11/22/2016	3/13/2022