DEPARTMENT OF INSURANCE

Name	Mitchum, Larry Thomas	DOIID	326347	NAIC NPN	7172516

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	3/20/2000	3/1/2001
Inactive	Resident	Agent	Casualty	10/14/2015	7/1/2023
Inactive	Resident	Agent	Property	10/14/2015	7/1/2023
Inactive	Resident	Agent	Life	10/14/2015	7/1/2023
Inactive	Resident	Agent	Health	10/14/2015	7/1/2023
Inactive	Resident	Agent	General Lines	9/3/1998	8/15/2000

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Residence	Not Public Information
Business / Home Office	410 Ring Road Elizabethtown, KY 42701

Internet Information

Type	Address
Business Email	tahill@chiins.com - Bad Email-Correction requested

Phone Information

Type	Phone
Business / Home Office	(270) 737-2828