DEPARTMENT OF INSURANCE
Affiliations
NameFosson, Michael EDOIID1017492NAIC NPN16616256
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentVariable Life and Variable Annuities10/31/2018 12/31/2024
ActiveNon ResidentAgentHealth10/31/2018 12/31/2024
ActiveNon ResidentAgentLife10/31/2018 12/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent10/15/202412/31/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllianz Life Insurance Company of North America301791Agent - Life3/27/2021 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities3/27/2021 
ActiveAthene Annuity and Life Company301893Agent - Life8/2/2023 
ActiveAthene Annuity and Life Company301893Agent - Variable Life and Variable Annuities8/2/2023 
ActiveBrighthouse Life Insurance Company301829Agent - Health12/31/2018 
ActiveBrighthouse Life Insurance Company301829Agent - Life12/31/2018 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities12/31/2018 
ActiveJackson National Life Insurance Company300486Agent - Life12/27/2018 
ActiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities12/27/2018 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health1/11/2019 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life1/11/2019 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities1/11/2019 
ActiveNationwide Life Insurance Company300495Agent - Health2/2/2021 
ActiveNationwide Life Insurance Company300495Agent - Life2/2/2021 
ActiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities2/2/2021 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health2/2/2021 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life2/2/2021 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities2/2/2021 
InactivePacific Life Insurance Company301848Agent - Health12/21/20188/17/2022
InactivePacific Life Insurance Company301848Agent - Life12/21/20188/17/2022
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities12/21/20188/17/2022
ActiveTransamerica Life Insurance Company300571Agent - Life12/21/2018 
ActiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities12/21/2018 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveChase Insurance Agency, Inc.398324Agent - Life7/25/2019 
ActiveChase Insurance Agency, Inc.398324Agent - Health7/25/2019 
ActiveChase Insurance Agency, Inc.398324Agent - Variable Life and Variable Annuities7/25/2019 

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