DEPARTMENT OF INSURANCE
Affiliations
NameMiesbauer, Mark JDOIID1083703NAIC NPN8005623
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife5/12/2020 4/30/2026
ActiveNon ResidentAgentHealth5/12/2020 4/30/2026
* 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
Agent02/15/202604/30/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAccendo Insurance Company300312Agent - Health9/10/202111/17/2023
ActiveAccendo Insurance Company300312Agent - Life2/17/2024 
ActiveAetna Health Inc. (PA)660717Agent - Health4/12/2021 
ActiveAetna Health and Life Insurance Company300523Agent - Health2/17/2024 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/6/2020 
ActiveAetna Life Insurance Company301140Agent - Health4/12/2021 
ActiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/2022 
ActiveCareSource Kentucky Co.838179Agent - Health8/12/2021 
InactiveChesapeake Life Insurance Company (The)301017Agent - Health5/15/20202/3/2025
InactiveChesapeake Life Insurance Company (The)301017Agent - Life9/14/20212/3/2025
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health2/17/2024 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Life2/17/2024 
ActiveGolden Rule Insurance Company301943Agent - Health5/19/2020 
ActiveGolden Rule Insurance Company301943Agent - Life5/19/2020 
ActiveMinnesota Life Insurance Company300488Agent - Health6/9/2020 
ActiveMinnesota Life Insurance Company300488Agent - Life6/9/2020 
ActiveSilverScript Insurance Company663526Agent - Health5/15/2020 
ActiveTransamerica Life Insurance Company300571Agent - Health5/27/2020 
ActiveTransamerica Life Insurance Company300571Agent - Life5/27/2020 
ActiveUnitedHealthcare Insurance Company300946Agent - Health5/12/2020 
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health5/12/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health5/12/202012/23/2021
ActiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health5/12/2020 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveHealthMarkets Insurance Agency Inc709727Agent - Life12/15/2023 
ActiveHealthMarkets Insurance Agency Inc709727Agent - Health12/15/2023 

© Commonwealth of Kentucky. All rights reserved.