DEPARTMENT OF INSURANCE
Affiliations
NameMarriott, Mitchell EugeneDOIID557080NAIC NPN7398746
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife9/19/20028/31/2009 
InactiveNon ResidentAgentHealth9/19/20028/31/2009 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican General Life Insurance Company301585Agent - Health3/21/20031/11/2008
InactiveAmerican General Life Insurance Company301585Agent - Life3/21/20031/11/2008
InactiveAthene Annuity & Life Assurance Company301798Agent - Health3/28/20065/6/2009
InactiveAthene Annuity & Life Assurance Company301798Agent - Life3/28/20065/6/2009
InactiveBanner Life Insurance Company301696Agent - Life1/28/20038/31/2009
InactiveBrighthouse Life Insurance Company301829Agent - Life12/7/20078/31/2009
InactiveFirst Colony Life Insurance Company301179Agent - Health9/19/20021/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life9/19/20021/1/2007
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health1/1/20077/11/2007
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/20077/11/2007
InactiveGlobe Life and Accident Insurance Company300639Agent - Health4/12/20048/3/2007
InactiveGlobe Life and Accident Insurance Company300639Agent - Life4/12/20048/3/2007
InactiveLiberty Life Insurance Company301542Agent - Health4/6/20046/30/2006
InactiveLiberty Life Insurance Company301542Agent - Life4/6/20046/30/2006
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life1/21/200312/7/2007
InactiveNorth American Company for Life and Health Insurance300291Agent - Life1/27/200310/18/2005
InactiveProtective Life Insurance Company300638Agent - Health2/20/20039/12/2007
InactiveProtective Life Insurance Company300638Agent - Life2/20/20039/12/2007
InactivePruco Life Insurance Company300954Agent - Health1/22/20077/24/2007
InactivePruco Life Insurance Company300954Agent - Life1/22/20077/24/2007
InactiveReliaStar Life Insurance Company301712Agent - Health2/20/20077/26/2007
InactiveReliaStar Life Insurance Company301712Agent - Life2/20/20077/26/2007
InactiveU.S. Financial Life Insurance Company301812Agent - Life10/23/20068/3/2007
InactiveUnited of Omaha Life Insurance Company300156Agent - Health1/24/20037/18/2007
InactiveUnited of Omaha Life Insurance Company300156Agent - Life1/24/20037/18/2007
Inactive300277Agent - Life6/24/20041/1/2007
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveSelectQuote Insurance Services533194Agent - Health10/17/20027/9/2007
InactiveSelectQuote Insurance Services533194Agent - Life10/17/20027/9/2007

© Commonwealth of Kentucky. All rights reserved.