DEPARTMENT OF INSURANCE

Affiliations

Name	Cellini, Michael D	DOIID	1063773	NAIC NPN	1967655

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	11/5/2019	3/31/2027
Active	Non Resident	Agent	Health	11/5/2019	3/31/2027
* 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
Agent	01/15/2025	03/31/2025	02/13/2025	02/13/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Family Life Insurance Company	844831	Agent - Life	12/6/2019	7/19/2022
Active	American National Insurance Company	301861	Agent - Life	11/15/2019
Active	Assurity Life Insurance Company	301099	Agent - Health	1/15/2025
Active	Assurity Life Insurance Company	301099	Agent - Life	1/15/2025
Active	Banner Life Insurance Company	301696	Agent - Life	7/11/2022
Inactive	C.M. Life Insurance Company	301335	Agent - Life	12/2/2020	3/21/2024
Active	Gerber Life Insurance Company	300529	Agent - Health	6/24/2024
Active	Gerber Life Insurance Company	300529	Agent - Life	6/24/2024
Inactive	Great Western Insurance Company	501693	Agent - Life	1/23/2023	9/12/2024
Active	Minnesota Life Insurance Company	300488	Agent - Health	5/20/2021
Active	Minnesota Life Insurance Company	300488	Agent - Life	5/20/2021
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/21/2019	1/23/2023
Active	Pruco Life Insurance Company	300954	Agent - Life	11/18/2019
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	12/30/2021	11/25/2024
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	9/30/2022
Active	Transamerica Life Insurance Company	300571	Agent - Health	11/5/2019
Active	Transamerica Life Insurance Company	300571	Agent - Life	11/5/2019
Inactive	United World Life Insurance Company	300532	Agent - Health	11/21/2019	1/23/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/21/2019	3/24/2025
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/21/2019	3/24/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Life Quotes, Inc	510340	Agent - Life	10/2/2020
Active	Life Quotes, Inc	510340	Agent - Health	10/2/2020