DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dibiano, Micheal	DOIID	1085993	NAIC NPN	19460213

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/11/2020		11/30/2024
Active	Non Resident	Agent	Health	6/11/2020		11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	5/11/2023
Active	Companion Life Insurance Company	300191	Agent - Health	11/22/2022
Active	Companion Life Insurance Company	300191	Agent - Life	11/22/2022
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	6/17/2020	4/25/2022
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	6/17/2020	4/25/2022
Active	Golden Rule Insurance Company	301943	Agent - Health	5/4/2022
Active	Golden Rule Insurance Company	301943	Agent - Life	5/4/2022
Active	Renaissance Life & Health Insurance Company of America	301447	Agent - Health	12/13/2022
Active	Renaissance Life & Health Insurance Company of America	301447	Agent - Life	12/13/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	6/17/2020	4/25/2022
Inactive	Ushealth Advisors Llc	713288	Agent - Health	6/17/2020	4/25/2022