DEPARTMENT OF INSURANCE

Affiliations

Name	Lavallato, Michael Gerard	DOIID	347341	NAIC NPN	1011726

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	10/23/2006	9/26/2017
Inactive	Non Resident	Agent	Health	10/23/2006	9/26/2017
* 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
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	4/4/2002	5/31/2006
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/4/2002	5/31/2006
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	6/18/1998	11/2/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	6/18/1998	11/2/1998
Inactive	Continental Casualty Company	301019	Agent - Health	1/28/1998	11/2/1998
Inactive	Genworth Life Insurance Company	300623	Agent - Health	8/10/1998	11/2/1998
Inactive	Genworth Life Insurance Company	300623	Agent - Life	8/10/1998	11/2/1998
Inactive	Golden Rule Insurance Company	301943	Agent - Health	3/14/2001	2/4/2003
Inactive	Golden Rule Insurance Company	301943	Agent - Life	3/14/2001	2/4/2003
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/13/2002	5/31/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/13/2002	5/31/2006
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	1/14/1998	11/2/1998
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	1/14/1998	11/2/1998
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/7/2000	5/31/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	5/3/2002	5/31/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	5/3/2002	5/31/2006
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	3/9/1998	11/2/1998
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	3/9/1998	11/2/1998
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/9/1998	11/2/1998
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/9/1998	11/2/1998
Inactive	Prudential Insurance Company of America	300784	Agent - Health	9/30/2002	5/31/2006
Inactive	Prudential Insurance Company of America	300784	Agent - Life	9/30/2002	5/31/2006
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	6/22/2009	11/3/2009
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	6/22/2009	11/3/2009
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	3/18/2008	8/22/2011
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	3/18/2008	8/22/2011
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	4/23/2001	5/31/2006
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	4/23/2001	5/31/2006
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	4/23/2001	5/31/2006
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	4/23/2001	5/31/2006
Inactive	Time Insurance Company	300683	Agent - Health	5/14/2002	7/11/2003
Inactive	Time Insurance Company	300683	Agent - Life	5/14/2002	7/11/2003
Inactive	Union Security Insurance Company	301844	Agent - Health	6/24/2002	2/20/2006
Inactive	Union Security Insurance Company	301844	Agent - Life	6/24/2002	2/20/2006
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	6/26/2002	11/19/2004
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	6/26/2002	11/19/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Prudential Direct Inc.	400266	Agent - Health	11/17/1997	11/2/1998
Inactive	Prudential Direct Inc.	400266	Agent - Life	11/17/1997	11/2/1998