DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Terry, Michael J	DOIID	1040688	NAIC NPN	10170370

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/16/2019		4/30/2025
Active	Non Resident	Agent	Life	5/16/2019		4/30/2025
* 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
Active	Fidelity Investments Life Insurance Company	300620	Agent - Life	3/7/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Fidelity Health Insurance Services LLC	887889	Agent - Life
Denied	Fidelity Health Insurance Services LLC	887889	Agent - Health