DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Minnis, Michael J	DOIID	1264302	NAIC NPN	2176721

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/23/2023		10/31/2025
Active	Non Resident	Agent	Health	3/23/2023		10/31/2025
* 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
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	12/21/2023
Active	Pruco Life Insurance Company	300954	Agent - Life	4/5/2023
Active	Prudential Insurance Company of America	300784	Agent - Health	4/5/2023
Active	Prudential Insurance Company of America	300784	Agent - Life	4/5/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Prudential Insurance Agency LLC	620187	Agent - Life	4/5/2023
Active	Prudential Insurance Agency LLC	620187	Agent - Health	4/5/2023