DEPARTMENT OF INSURANCE
Affiliations
NameMitchell, Tashan DOIID962817NAIC NPN16991582
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife6/16/2021 12/31/2024
ActiveNon ResidentAgentHealth6/16/2021 12/31/2024
* 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
Agent10/15/202412/31/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health10/2/20217/14/2022
ActiveAccendo Insurance Company300312Agent - Life8/15/2022 
ActiveAetna Health Inc. (PA)660717Agent - Health6/25/2021 
ActiveAetna Health and Life Insurance Company300523Agent - Health1/12/2024 
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
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
ActiveArcadian Health Plan, Inc.728196Agent - Health6/26/2024 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/21/2022 
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 - Health8/25/2022 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life1/12/2024 
InactiveFreedom Life Insurance Company of America300074Agent - Health1/8/20184/24/2018
InactiveFreedom Life Insurance Company of America300074Agent - Life1/8/20184/24/2018
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/20/20213/7/2024
InactiveHumana Insurance Company301104Agent - Health2/16/20233/7/2024
InactiveHumana Medical Plan, Inc.801568Agent - Health10/29/20213/7/2024
InactiveLifeShield National Insurance Company737111Agent - Health12/18/201812/31/2018
InactiveNational Health Insurance Company300554Agent - Health7/17/201812/31/2018
InactiveNational Health Insurance Company300554Agent - Life7/17/201812/31/2018
ActiveSilverScript Insurance Company663526Agent - Health6/25/2021 
InactiveStandard Life and Accident Insurance Company301534Agent - Health9/26/201812/31/2018
ActiveUnitedHealthcare Insurance Company300946Agent - Health5/11/2022 
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  
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health5/11/2022 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health1/17/20228/29/2022
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

© Commonwealth of Kentucky. All rights reserved.