DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Nelson, Mitchell Dean	DOIID	983737	NAIC NPN	8277085

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	2/6/2018	6/30/2026
Inactive	Non Resident	Agent	Life	2/6/2018	6/30/2026
* 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 General Life Insurance Company	301585	Agent - Health	6/2/2021	6/8/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	6/2/2021	6/8/2022
Inactive	Principal Life Insurance Company	300129	Agent - Health	12/27/2018	6/30/2026
Inactive	Principal Life Insurance Company	300129	Agent - Life	12/27/2018	6/30/2026
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	9/20/2024	6/30/2026
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	9/20/2024	6/30/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Secura Brokerage Insurance Solutions	1017465	Agent - Life	1/7/2019	7/10/2019
Inactive	Secura Brokerage Insurance Solutions	1017465	Agent - Health	1/7/2019	7/10/2019