DEPARTMENT OF INSURANCE
Affiliations
NameMelloy, Michael DOIID1072299NAIC NPN19408595
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife2/10/2020 5/31/2025
ActiveResidentAgentVariable Life and Variable Annuities2/26/2020 5/31/2025
ActiveResidentAgentHealth2/10/2020 5/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBanner Life Insurance Company301696Agent - Life10/26/2021 
ActiveBrighthouse Life Insurance Company301829Agent - Health12/16/2021 
ActiveBrighthouse Life Insurance Company301829Agent - Life12/16/2021 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities12/16/2021 
ActiveCincinnati Life Insurance Company (The)300601Agent - Life11/3/2021 
ActiveFortitude Life Insurance & Annuity Company301503Agent - Life3/21/2024 
ActiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities3/21/2024 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health6/9/2022 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life6/9/2022 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities6/9/2022 
ActivePruco Life Insurance Company300954Agent - Life3/15/2024 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities3/15/2024 
ActiveTransamerica Life Insurance Company300571Agent - Health1/19/2021 
ActiveTransamerica Life Insurance Company300571Agent - Life1/19/2021 
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveOsaic Wealth, Inc.399326Agent - Life7/1/2024 
ActiveOsaic Wealth, Inc.399326Agent - Health7/1/2024 
ActiveOsaic Wealth, Inc.399326Agent - Variable Life and Variable Annuities7/1/2024 
ActiveSecurities America Inc.400225Agent - Life6/17/2020 
DeniedSecurities America Inc.400225Agent - Health  

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