DEPARTMENT OF INSURANCE
Affiliations
NameMitchell, Tashan DOIID962817NAIC NPN16991582
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth6/16/2021 12/31/2026
ActiveNon ResidentAgentLife6/16/2021 12/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent10/15/202612/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health10/2/20217/14/2022
ActiveAccendo Insurance Company300312Agent - Life3/6/2026 
ActiveAetna Health Inc. (PA)660717Agent - Health6/25/2021 
ActiveAetna Health and Life Insurance Company300523Agent - Health3/6/2026 
ActiveAetna Health of Ohio Inc.1065035Agent - Health6/25/2021 
ActiveAetna Life Insurance Company301140Agent - Health6/25/2021 
InactiveAmerican General Life Insurance Company301585Agent - Health6/1/20229/7/2022
InactiveAmerican General Life Insurance Company301585Agent - Life6/1/20229/7/2022
ActiveAmeritas Life Insurance Corporation300126Agent - Health1/19/2026 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health5/22/20235/6/2024
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health5/22/20235/6/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health5/22/20235/6/2024
InactiveArcadian Health Plan, Inc.728196Agent - Health10/24/20251/16/2026
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health6/17/20253/30/2026
InactiveChesapeake Life Insurance Company (The)301017Agent - Health4/7/20226/30/2022
InactiveChesapeake Life Insurance Company (The)301017Agent - Life4/7/20226/30/2022
InactiveCompcare Health Services Insurance Corporation948751Agent - Health5/22/20235/6/2024
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/2026 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life3/6/2026 
InactiveEmphesys Insurance Company300598Agent - Health10/24/20251/16/2026
InactiveFreedom Life Insurance Company of America300074Agent - Health1/8/20184/24/2018
InactiveFreedom Life Insurance Company of America300074Agent - Life1/8/20184/24/2018
ActiveGolden Rule Insurance Company301943Agent - Health11/16/2024 
ActiveGolden Rule Insurance Company301943Agent - Life11/16/2024 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/20/20213/7/2024
InactiveHumana Insurance Company301104Agent - Health9/8/20251/16/2026
InactiveHumana Medical Plan, Inc.801568Agent - Health1/13/20261/16/2026
InactiveLifeShield National Insurance Company737111Agent - Health12/18/201812/31/2018
ActiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health8/29/2025 
InactiveNational Health Insurance Company300554Agent - Health7/17/201812/31/2018
InactiveNational Health Insurance Company300554Agent - Life7/17/201812/31/2018
ActiveSilverScript Insurance Company663526Agent - Health6/25/2021 
InactiveSouthern Guaranty Insurance Company969411Agent - Health2/17/20262/23/2026
InactiveStandard Life and Accident Insurance Company301534Agent - Health9/26/201812/31/2018
ActiveTier One Insurance Company301056Agent - Health3/2/2026 
ActiveTier One Insurance Company301056Agent - Life3/2/2026 
ActiveUnited States Fire Insurance Company582240Agent - Health11/28/2025 
InactiveUnitedHealthcare Insurance Company300946Agent - Health6/17/20253/30/2026
InactiveUnitedHealthcare Insurance Company300946Agent - Life5/1/201812/31/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health5/11/202212/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health5/1/201812/31/2018
DeniedUnitedHealthcare of Ohio, Inc.300493Agent - Health  
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health6/17/20253/30/2026
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health8/5/20254/8/2026
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveEnsurem II LLC908041Agent - Life5/12/2022 
ActiveEnsurem II LLC908041Agent - Health5/12/2022 
InactiveHealth Plan Intermediaries Holdings786463Agent - Health12/7/201812/31/2018
InactiveUshealth Advisors Llc713288Agent - Life1/8/20184/24/2018
InactiveUshealth Advisors Llc713288Agent - Health1/8/20184/24/2018

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