DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mixon, Karissa Ames	DOIID	994788	NAIC NPN	18447751

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	5/18/2018		7/31/2027
Active	Non Resident	Agent	Health	5/18/2018		7/31/2027
* 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
Active	CMFG Life Insurance Company	300929	Agent - Health	5/26/2018
Active	CMFG Life Insurance Company	300929	Agent - Life	5/26/2018
Inactive	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	9/26/2020	12/29/2021
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	9/26/2020	12/29/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Sutherland Global Services Inc	601788	Agent - Life	5/15/2019
Active	Sutherland Global Services Inc	601788	Agent - Health	5/15/2019