DEPARTMENT OF INSURANCE

Affiliations

Name	Tejada, Anibal Mitchell	DOIID	703085	NAIC NPN	13371245

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	7/24/2025		5/31/2027
Inactive	Non Resident	Agent	Casualty	4/3/2009	5/31/2015
Inactive	Non Resident	Agent	Property	4/3/2009	5/31/2015
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2027	05/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/29/2025	4/6/2026
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/29/2025	4/6/2026
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	3/14/2013	6/19/2013
Inactive	American Family Home Insurance Company	301817	Agent - Property	3/14/2013	6/19/2013
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	3/14/2013	6/19/2013
Inactive	American Modern Home Insurance Company	300791	Agent - Property	3/14/2013	6/19/2013
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	6/24/2010	5/31/2015
Inactive	American Southern Home Insurance Company	626276	Agent - Property	6/24/2010	5/31/2015
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/24/2025	3/24/2026
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/24/2025	3/24/2026
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	11/11/2025	10/29/2026
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/5/2025	3/23/2026
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	7/24/2025	3/24/2026
Inactive	Homesite Insurance Company	301139	Agent - Casualty	4/23/2009	6/10/2013
Inactive	Homesite Insurance Company	301139	Agent - Property	4/23/2009	6/10/2013
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/24/2025	10/29/2026
Inactive	SilverScript Insurance Company	663526	Agent - Health	7/29/2025	4/6/2026
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Casualty	6/24/2010	6/19/2013
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Property	6/24/2010	6/19/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/5/2025	3/23/2026
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/5/2025	3/23/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Homesite Ins Agency Inc	547560	Agent - Casualty	1/3/2011	5/31/2015
Inactive	Homesite Ins Agency Inc	547560	Agent - Property	1/3/2011	5/31/2015