DEPARTMENT OF INSURANCE
Affiliations
NameFields, Michael GDOIID1080896NAIC NPN6910165
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife6/9/20223/31/2024 
InactiveNon ResidentAgentVariable Life and Variable Annuities6/9/20223/31/2024 
InactiveNon ResidentAgentHealth6/9/20223/31/2024 
* 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
InactiveAllianz Life Insurance Company of North America301791Agent - Life12/27/20223/31/2024
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities12/16/20223/31/2024
InactiveAmerican General Life Insurance Company301585Agent - Health5/9/20233/31/2024
InactiveAmerican General Life Insurance Company301585Agent - Life5/9/20233/31/2024
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities5/9/20233/31/2024
InactiveBerkshire Life Insurance Company of America300983Agent - Health6/14/20223/31/2024
InactiveBerkshire Life Insurance Company of America300983Agent - Life6/14/20223/31/2024
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Health6/14/20223/31/2024
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life6/14/20223/31/2024
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Variable Life and Variable Annuities6/14/20223/31/2024
InactiveGuardian Life Insurance Company of America301316Agent - Health6/14/20223/31/2024
InactiveGuardian Life Insurance Company of America301316Agent - Life6/14/20223/31/2024
InactiveJackson National Life Insurance Company300486Agent - Life5/12/20233/31/2024
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities5/12/20233/31/2024
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveRaymond James Insurance Group, Inc.398342Agent - Life2/22/20233/31/2024
InactiveRaymond James Insurance Group, Inc.398342Agent - Health2/22/20233/31/2024
InactiveRaymond James Insurance Group, Inc.398342Agent - Variable Life and Variable Annuities2/22/20233/31/2024

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