DEPARTMENT OF INSURANCE

Affiliations

Name	Mikel, Teresa D	DOIID	545584	NAIC NPN	1892600

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	3/24/2011	9/1/2019
Inactive	Resident	Agent	Life	3/22/2011	9/1/2019
* 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
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	11/9/2012	2/19/2014
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	11/9/2012	2/19/2014
Inactive	American United Life Insurance Company	300498	Agent - Health	5/29/2013	9/1/2019
Inactive	American United Life Insurance Company	300498	Agent - Life	5/29/2013	9/1/2019
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/1/2011	10/1/2012
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	4/1/2011	10/1/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/14/2013	8/3/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/14/2013	8/3/2017
Inactive	Combined Insurance Company of America	301472	Agent - Health	5/7/2014	9/1/2019
Inactive	Combined Insurance Company of America	301472	Agent - Life	5/7/2014	9/1/2019
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	9/3/2013	1/5/2017
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	9/3/2013	1/5/2017
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	11/5/2013	10/29/2015
Inactive	Liberty National Life Insurance Company	300827	Agent - Health	7/28/2017	11/16/2017
Inactive	Liberty National Life Insurance Company	300827	Agent - Life	7/28/2017	11/16/2017
Inactive	Life Insurance Company of North America	300711	Agent - Health	6/3/2013	9/1/2019
Inactive	Life Insurance Company of North America	300711	Agent - Life	6/3/2013	9/1/2019
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/25/2013	9/3/2013
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/25/2013	9/3/2013
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	6/18/2013	9/9/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	6/18/2013	9/9/2015
Inactive	Trustmark Insurance Company	300317	Agent - Health	10/3/2015	5/30/2018
Inactive	Trustmark Insurance Company	300317	Agent - Life	10/3/2015	5/30/2018
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	6/18/2013	9/9/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	6/18/2013	9/9/2015
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	8/14/2006	8/31/2009
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	8/14/2006	8/31/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/14/2013	8/2/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Life	7/14/2013	8/2/2017
Inactive	Kentucky Hospital Service Company of Kentucky, LLC	401254	Agent - Health	4/17/2013	8/1/2017
Inactive	Kentucky Hospital Service Company of Kentucky, LLC	401254	Agent - Life	4/17/2013	8/1/2017