DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Vivola, Michael K	DOIID	1024348	NAIC NPN	17424708

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	2/16/2022		11/30/2025
Active	Non Resident	Agent	Life	1/4/2019		11/30/2025
Active	Non Resident	Agent	Health	1/4/2019		11/30/2025
* 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
Administrator	09/15/2025	11/30/2025
Agent	09/15/2025	11/30/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Conduent Securities LLC	992540	Agent - Life	3/13/2024
Active	Conduent Securities LLC	992540	Agent - Health	3/13/2024