DEPARTMENT OF INSURANCE
Affiliations
NameWashington, Mia DOIID1158771NAIC NPN20040199
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth9/15/2021 10/31/2025
ActiveNon ResidentAgentLife9/15/2021 10/31/2025
ActiveNon ResidentAgentPersonal Lines11/29/2021 10/31/2025
* 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
Agent08/15/202510/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveProgressive Direct Insurance Company301379Agent - Personal Lines1/21/2022 
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health10/3/20216/1/2023
ActiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Life10/3/2021 
InactiveWellCare Prescription Insurance Inc.654329Agent - Health4/21/20225/29/2023
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveTtec Financial Services Management LLC881063Agent - Personal Lines9/7/2022 

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