DEPARTMENT OF INSURANCE

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.

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