DEPARTMENT OF INSURANCE
Affiliations
NameKelley, Michael JDOIID323209NAIC NPN523620
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife4/21/2023 8/31/2026
ActiveNon ResidentAgentVariable Life and Variable Annuities4/21/2023 8/31/2026
ActiveNon ResidentAgentHealth4/21/2023 8/31/2026
* 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 - Life7/28/20208/31/2022
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities7/28/20208/31/2022
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life2/2/20228/31/2022
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities2/2/20228/31/2022
ActiveJackson National Life Insurance Company300486Agent - Life5/22/2023 
ActiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities5/22/2023 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health5/8/2023 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life5/8/2023 
ActiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities5/8/2023 
InactiveNationwide Life Insurance Company300495Agent - Health4/20/199512/30/2002
InactiveNationwide Life Insurance Company300495Agent - Life4/20/199512/30/2002
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities5/31/20017/14/2009
InactivePaul Revere Life Insurance Company300971Agent - Health7/24/199812/11/2002
InactivePaul Revere Life Insurance Company300971Agent - Life7/24/199812/11/2002
InactiveProvident Life and Accident Insurance Company301525Agent - Health7/24/199811/10/2004
InactiveProvident Life and Accident Insurance Company301525Agent - Life7/24/199811/10/2004
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveLinsco/Private Ledger Insurance Associates, Inc.400524Agent - Life4/11/201312/23/2014
DeniedLinsco/Private Ledger Insurance Associates, Inc.400524Agent - Health  

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