DEPARTMENT OF INSURANCE
Affiliations
NameEllison, Michael JDOIID327712NAIC NPN1479161
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentVariable Life and Variable Annuities2/19/2009 12/31/2024
ActiveResidentAgentLife2/19/2009 12/31/2024
ActiveResidentAgentHealth2/19/2009 12/31/2024
InactiveResidentAgentHealth Maintenance Organization2/16/19933/1/2001 
* 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.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent10/15/202412/31/2024   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllianz Life Insurance Company of North America301791Agent - Health4/20/2015 
ActiveAllianz Life Insurance Company of North America301791Agent - Life4/20/2015 
ActiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities4/20/2015 
ActiveAmerican Equity Investment Life Insurance Company300389Agent - Life7/9/2012 
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Variable Life and Variable Annuities7/6/201212/23/2014
InactiveAmerican General Life Insurance Company301585Agent - Health7/15/200212/11/2006
ActiveAmerican General Life Insurance Company301585Agent - Life4/28/2014 
ActiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities4/28/2014 
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health7/9/19982/15/2002
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life7/9/19982/15/2002
InactiveAmerican Investors Life Insurance Company, Inc.301358Agent - Life6/18/20028/28/2003
InactiveAmerican National Insurance Company301861Agent - Life2/19/20041/1/2009
InactiveAmerican States Life Insurance Company301884Agent - Health1/25/19954/27/1998
InactiveAmerican States Life Insurance Company301884Agent - Life1/25/19954/27/1998
InactiveAmerican United Life Insurance Company300498Agent - Health1/28/201011/30/2023
InactiveAmerican United Life Insurance Company300498Agent - Life1/28/201011/30/2023
ActiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life9/20/2023 
InactiveAnnuity Investors Life Insurance Company300715Agent - Life3/24/201711/2/2019
InactiveAnnuity Investors Life Insurance Company300715Agent - Variable Life and Variable Annuities3/24/201711/2/2019
InactiveAnthem Life Insurance Company301209Agent - Health6/8/20001/1/2009
InactiveAnthem Life Insurance Company301209Agent - Life6/8/20001/1/2009
ActiveAspida Life Insurance Company301934Agent - Life4/9/2024 
InactiveAthene Annuity and Life Company301893Agent - Life8/29/20182/3/2022
InactiveAugustar Life Insurance Company301816Agent - Health7/12/19993/10/2007
InactiveAugustar Life Insurance Company301816Agent - Life7/12/199912/14/2001
InactiveBerkshire Life Insurance Company of America300983Agent - Health6/13/201810/12/2020
InactiveBerkshire Life Insurance Company of America300983Agent - Life6/13/201810/12/2020
ActiveBrighthouse Life Insurance Company301829Agent - Health11/14/2014 
ActiveBrighthouse Life Insurance Company301829Agent - Life11/14/2014 
ActiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities11/14/2014 
InactiveChase Insurance Life and Annuity Company300518Agent - Health4/12/19993/28/2006
InactiveChase Insurance Life and Annuity Company300518Agent - Life4/12/19993/28/2006
InactiveChase Life and Annuity Company300145Agent - Health2/9/199512/11/1996
InactiveChase Life and Annuity Company300145Agent - Life2/9/199512/11/1996
ActiveCincinnati Life Insurance Company (The)300601Agent - Life2/22/2024 
ActiveClear Spring Life and Annuity Company300919Agent - Life7/14/2017 
InactiveColonial Life and Accident Insurance Company300846Agent - Health4/15/199611/2/2006
InactiveColonial Life and Accident Insurance Company300846Agent - Life4/15/199611/2/2006
InactiveColumbus Life Insurance Company301227Agent - Life10/31/20162/16/2017
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Health2/14/200312/31/2005
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Life2/14/200312/31/2005
InactiveCompBenefits Dental, Inc.591692Agent - Health3/25/200912/5/2014
InactiveCompBenefits Insurance Company301864Agent - Health3/25/20097/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life3/25/20097/2/2013
InactiveDelaware Life Insurance Company301256Agent - Life3/17/201411/21/2022
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities2/13/200412/13/2006
InactiveDental Concern Inc. (The)301641Agent - Health3/25/200912/5/2014
InactiveEncova Life Insurance Company301818Agent - Life2/2/20013/23/2005
InactiveEquiTrust Life Insurance Company502870Agent - Life7/13/20173/10/2021
InactiveEquitable Financial Life Insurance Company300808Agent - Life1/18/201111/7/2012
ActiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities4/30/2021 
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life5/21/20223/22/2023
InactiveEquitable Financial Life Insurance Company of America301772Agent - Variable Life and Variable Annuities5/21/20223/22/2023
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Health9/7/20041/1/2009
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life4/11/2024 
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Health4/12/199910/28/2008
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life4/12/199910/28/2008
InactiveFirst Colony Life Insurance Company301179Agent - Life4/19/19991/1/2007
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health9/23/199712/12/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life9/23/199712/12/2008
ActiveFortitude Life Insurance & Annuity Company301503Agent - Life3/4/2009 
ActiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities3/4/2009 
InactiveGenworth Life Insurance Company300623Agent - Health10/13/201112/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life10/13/201112/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health12/7/20121/7/2014
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life12/7/20121/7/2014
InactiveGenworth Life and Annuity Insurance Company301276Agent - Variable Life and Variable Annuities12/7/20121/7/2014
InactiveGolden Rule Insurance Company301943Agent - Health1/11/200611/10/2008
InactiveGolden Rule Insurance Company301943Agent - Life1/11/200611/10/2008
InactiveGuarantee Life Insurance Company301560Agent - Health12/9/19949/8/2000
InactiveGuarantee Life Insurance Company301560Agent - Life12/9/19949/8/2000
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life6/1/201810/5/2021
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Variable Life and Variable Annuities6/4/20183/5/2020
InactiveGuardian Life Insurance Company of America301316Agent - Health6/13/201810/5/2021
InactiveGuardian Life Insurance Company of America301316Agent - Life6/13/201810/5/2021
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health11/13/201312/5/2014
InactiveHumana Health Plan, Inc.300142Agent - Health3/25/20098/14/2015
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization2/16/19933/1/2001
InactiveHumana Insurance Company301104Agent - Health3/25/20098/14/2015
InactiveHumana Insurance Company301104Agent - Life3/25/20098/14/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Health3/25/200912/5/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Life3/25/200912/5/2014
InactiveHumanaDental Insurance Company301457Agent - Health3/25/20092/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life3/25/20092/23/2012
InactiveIllinois Mutual Life Insurance Company301479Agent - Health1/26/199912/14/2000
InactiveIllinois Mutual Life Insurance Company301479Agent - Life1/26/199912/14/2000
ActiveIntegrity Life Insurance Company301687Agent - Life6/11/2010 
ActiveIntegrity Life Insurance Company301687Agent - Variable Life and Variable Annuities6/11/2010 
InactiveJackson National Life Insurance Company300486Agent - Health11/7/20193/4/2020
InactiveJackson National Life Insurance Company300486Agent - Life2/25/20201/4/2024
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities11/7/20191/4/2024
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health7/18/20057/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life7/18/20057/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Variable Life and Variable Annuities12/11/20031/1/2005
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health7/18/20054/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life7/18/20054/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Variable Life and Variable Annuities12/12/20031/1/2005
InactiveJohn Alden Life Insurance Company300573Agent - Health11/27/200011/7/2002
InactiveJohn Alden Life Insurance Company300573Agent - Life11/27/200011/7/2002
InactiveJohn Hancock Life Insurance Company300821Agent - Health9/10/19963/31/1997
InactiveJohn Hancock Life Insurance Company300821Agent - Life9/10/19963/31/1997
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health2/23/20114/23/2014
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life11/8/20114/23/2014
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities10/13/20031/1/2009
InactiveJohn Hancock Variable Life Insurance Company301914Agent - Life9/26/19963/31/1997
InactiveKanawha Insurance Company300127Agent - Health3/25/20094/25/2013
InactiveKanawha Insurance Company300127Agent - Life3/25/20094/25/2013
InactiveLife Investors Insurance Company of America301793Agent - Health3/19/200111/4/2002
InactiveLife Investors Insurance Company of America301793Agent - Life3/19/200111/4/2002
InactiveLifeUSA Insurance Company300386Agent - Health4/15/19988/2/2002
InactiveLifeUSA Insurance Company300386Agent - Life4/15/19988/2/2002
InactiveLincoln National Life Insurance Company (The)301382Agent - Health10/19/202010/2/2023
InactiveLincoln National Life Insurance Company (The)301382Agent - Life10/19/202010/2/2023
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities10/19/202010/2/2023
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health9/12/20191/14/2020
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life9/12/20191/14/2020
InactiveMetLife Investors Insurance Company301872Agent - Health3/9/200911/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Life3/9/200911/14/2014
InactiveMetLife Investors Insurance Company301872Agent - Variable Life and Variable Annuities3/9/200911/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Health3/9/200911/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Life2/23/200911/14/2014
InactiveMetLife Investors USA Insurance Company300845Agent - Variable Life and Variable Annuities2/23/200911/14/2014
ActiveMetropolitan Life Insurance Company301948Agent - Health3/17/2009 
ActiveMetropolitan Life Insurance Company301948Agent - Life3/17/2009 
ActiveMetropolitan Life Insurance Company301948Agent - Variable Life and Variable Annuities3/17/2009 
InactiveMidland National Life Insurance Company300923Agent - Health3/19/20012/3/2003
ActiveMidland National Life Insurance Company300923Agent - Life12/7/2016 
ActiveMidland National Life Insurance Company300923Agent - Variable Life and Variable Annuities12/7/2016 
ActiveMinnesota Life Insurance Company300488Agent - Health6/26/2024 
ActiveMinnesota Life Insurance Company300488Agent - Life6/26/2024 
ActiveMinnesota Life Insurance Company300488Agent - Variable Life and Variable Annuities6/26/2024 
InactiveMutual of Omaha Insurance Company301012Agent - Health5/1/20006/26/2008
InactiveNational Western Life Insurance Company301515Agent - Health2/16/200410/31/2006
InactiveNational Western Life Insurance Company301515Agent - Life2/16/200410/31/2006
InactiveNationwide Life Insurance Company300495Agent - Health9/16/202212/12/2022
InactiveNationwide Life Insurance Company300495Agent - Life9/16/202212/12/2022
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities9/16/202212/12/2022
InactiveNationwide Life Insurance Company of America301134Agent - Health8/12/19943/31/1997
InactiveNationwide Life Insurance Company of America301134Agent - Life8/12/19943/31/1997
InactiveNationwide Life and Annuity Company of America300172Agent - Health9/29/19943/31/1997
InactiveNationwide Life and Annuity Company of America300172Agent - Life9/29/19943/31/1997
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health6/26/2024 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life6/26/2024 
ActiveNorth American Company for Life and Health Insurance300291Agent - Life4/25/2017 
InactiveOld Line Life Insurance Company of America (The)301709Agent - Health9/21/19983/31/2003
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life9/21/19983/31/2003
ActivePacific Life Insurance Company301848Agent - Health6/11/2020 
ActivePacific Life Insurance Company301848Agent - Life6/11/2020 
ActivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities6/11/2020 
InactivePaul Revere Life Insurance Company300971Agent - Health4/22/199912/12/2005
InactivePaul Revere Life Insurance Company300971Agent - Life4/22/199912/12/2005
InactivePrincipal Life Insurance Company300129Agent - Health9/3/19921/1/2009
InactivePrincipal Life Insurance Company300129Agent - Life9/3/19921/1/2009
InactiveProvident Life and Accident Insurance Company301525Agent - Health4/3/199712/12/2005
InactiveProvident Life and Accident Insurance Company301525Agent - Life4/3/199712/12/2005
ActivePruco Life Insurance Company300954Agent - Health2/22/2010 
ActivePruco Life Insurance Company300954Agent - Life2/22/2010 
ActivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities2/22/2010 
InactiveReassure America Life Insurance Company301902Agent - Health7/21/19959/3/2004
InactiveReassure America Life Insurance Company301902Agent - Life7/21/19959/3/2004
InactiveReliaStar Life Insurance Company301712Agent - Health10/1/20037/3/2007
InactiveReliaStar Life Insurance Company301712Agent - Life10/1/20037/3/2007
InactiveSagicor Life Insurance Company300459Agent - Life8/11/20204/11/2022
InactiveSecurity Financial Life Insurance Company300208Agent - Health8/1/20024/30/2004
InactiveSecurity Financial Life Insurance Company300208Agent - Life8/1/20024/30/2004
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health7/9/199710/1/2003
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life7/9/199710/1/2003
InactiveStandard Life and Accident Insurance Company301534Agent - Health8/14/199512/26/1996
InactiveStandard Life and Accident Insurance Company301534Agent - Life8/14/199512/26/1996
InactiveSun Life Assurance Company of Canada301811Agent - Health10/23/20098/22/2011
InactiveSun Life Assurance Company of Canada301811Agent - Life10/23/20098/22/2011
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life3/16/201110/1/2012
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Variable Life and Variable Annuities3/16/201110/1/2012
ActiveSymetra Life Insurance Company301691Agent - Health5/15/2024 
ActiveSymetra Life Insurance Company301691Agent - Life5/15/2024 
ActiveSymetra Life Insurance Company301691Agent - Variable Life and Variable Annuities5/15/2024 
InactiveTalcott Resolution Life Insurance Company301759Agent - Health3/10/200911/16/2011
InactiveTalcott Resolution Life Insurance Company301759Agent - Life3/10/200911/16/2011
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities3/10/200911/16/2011
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health3/10/200912/24/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life3/10/200912/24/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities3/10/200912/24/2015
InactiveTime Insurance Company300683Agent - Health6/1/19992/10/2005
InactiveTime Insurance Company300683Agent - Life6/1/19992/10/2005
InactiveTransamerica Life Insurance Company300571Agent - Health10/22/20092/12/2014
InactiveTransamerica Life Insurance Company300571Agent - Life10/22/20092/12/2014
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Life2/19/20046/28/2005
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health11/23/19987/28/2003
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life11/23/19987/28/2003
InactiveTransamerica Premier Life Insurance Company300558Agent - Health2/24/20045/23/2005
InactiveTransamerica Premier Life Insurance Company300558Agent - Life2/24/20045/23/2005
InactiveTrustmark Insurance Company300317Agent - Health1/22/19933/31/1997
InactiveTrustmark Insurance Company300317Agent - Life1/22/19933/31/1997
InactiveUSG Annuity & Life Company300457Agent - Life12/12/20031/1/2004
InactiveUnion Security Insurance Company301844Agent - Health3/24/19941/1/2009
InactiveUnion Security Insurance Company301844Agent - Life3/24/19941/1/2009
InactiveUnited of Omaha Life Insurance Company300156Agent - Health5/1/20006/26/2008
InactiveUnited of Omaha Life Insurance Company300156Agent - Life5/1/20006/26/2008
InactiveUnitedHealthcare Insurance Company300946Agent - Health6/16/20061/1/2009
InactiveUnitedHealthcare Insurance Company300946Agent - Life6/16/20061/1/2009
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health4/25/19957/22/1999
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life4/25/19957/22/1999
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health6/16/20061/1/2009
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health Maintenance Organization11/15/20003/1/2001
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health6/16/20061/1/2009
InactiveVariable Annuity Life Insurance Company301341Agent - Life8/26/201512/2/2020
InactiveVariable Annuity Life Insurance Company301341Agent - Variable Life and Variable Annuities8/26/201512/2/2020
InactiveVenerable Insurance and Annuity Company301006Agent - Health9/18/19981/1/2009
InactiveVenerable Insurance and Annuity Company301006Agent - Life9/18/19981/1/2009
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities12/11/20011/1/2009
InactiveWest Coast Life Insurance Company301607Agent - Life7/10/199812/29/2005
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Health12/10/200111/26/2003
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Life12/10/200111/26/2003
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Variable Life and Variable Annuities12/10/200111/26/2003
InactiveWilcac Life Insurance Company301573Agent - Health7/21/199511/17/2000
InactiveWilcac Life Insurance Company301573Agent - Life7/21/199511/17/2000
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Life3/13/20006/21/2008
InactiveArison Insurance Services, Inc.401001Agent - Health3/13/20006/21/2008
InactiveDental Choice Agency Inc.398085Agent - Health5/22/20091/10/2014
InactiveEllison Garrett, Inc.521786Agent - Life2/20/20013/13/2003
InactiveEllison Garrett, Inc.521786Agent - Health2/20/20013/13/2003
InactiveFirst Allied Securities, Inc.522716Agent - Life3/2/20117/10/2023
InactiveFirst Allied Securities, Inc.522716Agent - Health3/2/20117/10/2023
InactiveFirst Allied Securities, Inc.522716Agent - Variable Life and Variable Annuities3/2/20117/10/2023
InactiveHealthplan Services, Inc.401230Agent - Health8/31/19953/31/1997
InactiveHyland Block & Hyland Inc.398511Agent - Life2/9/19952/14/2003
InactiveHyland Block & Hyland Inc.398511Agent - Health2/9/19952/14/2003
InactiveLogan Lavelle Hunt Ins Agency LLC398963Agent - Life8/5/19973/10/2000
InactiveLogan Lavelle Hunt Ins Agency LLC398963Agent - Health8/5/19973/10/2000
InactiveMedlink Inc400721Agent - Life2/21/20051/1/2009
InactiveMedlink Inc400721Agent - Health2/21/20051/1/2009
InactiveNettworth, Inc564320Agent - Life2/27/20033/31/2007
InactiveNettworth, Inc564320Agent - Health2/14/20033/31/2007
InactivePlanchoice Inc.400482Agent - Life3/5/20031/1/2009
InactivePlanchoice Inc.400482Agent - Health3/5/20031/1/2009
ActiveRps Risk Management LLC1299266Agent - Life9/19/2023 
ActiveRps Risk Management LLC1299266Agent - Health9/19/2023 
InactiveSecurities America Inc.400225Agent - Life1/8/20012/17/2003
InactiveSecurities America Inc.400225Agent - Health1/8/20012/17/2003
InactiveThompson Associates Inc.398584Agent - Life11/23/199211/23/1998
InactiveThompson Associates Inc.398584Agent - Health11/23/199211/23/1998

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