DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ortiz, Michael Alexander	DOIID	1057318	NAIC NPN	19295060

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/23/2019	8/8/2023
Inactive	Non Resident	Agent	Life	9/23/2019	8/8/2023
* 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	Provident Life and Accident Insurance Company	301525	Agent - Health	10/15/2021	8/8/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/15/2021	8/8/2023
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	12/27/2019	8/8/2023
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	12/27/2019	8/8/2023
Inactive	Starmount Life Insurance Company	628031	Agent - Health	10/15/2021	8/8/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	12/28/2020	8/8/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	12/28/2020	8/8/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/15/2021	8/8/2023
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/15/2021	8/8/2023
Inactive	Unum Insurance Company	301499	Agent - Health	10/15/2021	8/8/2023
Inactive	Unum Insurance Company	301499	Agent - Life	10/15/2021	8/8/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hodges-Mace LLC	1059189	Agent - Life	9/28/2022	8/8/2023
Inactive	Hodges-Mace LLC	1059189	Agent - Health	9/28/2022	8/8/2023