DEPARTMENT OF INSURANCE
Affiliations
NameMichalik, Mary JaneDOIID371422NAIC NPN7200814
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
Pending ReplacementResidentAgentLife9/21/2016 8/31/2024
Pending ReplacementResidentAgentVariable Life and Variable Annuities9/21/2016 8/31/2024
Pending ReplacementResidentAgentHealth9/21/2016 8/31/2024
* 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 - Health4/7/20101/20/2015
InactiveAllianz Life Insurance Company of North America301791Agent - Life4/7/20101/20/2015
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities4/7/20101/20/2015
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health2/3/19995/28/2002
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life2/3/19995/28/2002
Pending ReplacementAthene Annuity and Life Company301893Agent - Life12/7/2022 
InactiveBerkshire Life Insurance Company of America300983Agent - Health3/26/20048/31/2008
InactiveBerkshire Life Insurance Company of America300983Agent - Life3/26/20048/31/2008
InactiveBrighthouse Life Insurance Company301829Agent - Health12/7/200710/13/2008
InactiveBrighthouse Life Insurance Company301829Agent - Life12/7/200710/13/2008
InactiveC.M. Life Insurance Company301335Agent - Health3/20/19953/31/1997
InactiveC.M. Life Insurance Company301335Agent - Life3/20/19953/31/1997
InactiveCanada Life Insurance Company of America301100Agent - Health8/29/199712/11/2002
InactiveCanada Life Insurance Company of America301100Agent - Life8/29/199712/11/2002
InactiveCentre Life Insurance Company300341Agent - Health10/29/19973/31/1999
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Health3/29/19951/26/2006
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Life3/29/19951/26/2006
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Variable Life and Variable Annuities6/28/20011/26/2006
InactiveConseco Insurance Company301202Agent - Health10/29/199312/11/2002
InactiveConseco Insurance Company301202Agent - Life10/29/199312/11/2002
InactiveContinental Casualty Company301019Agent - Health3/21/199510/30/2002
InactiveDelaware Life Insurance Company301256Agent - Life4/17/199212/13/2006
InactiveDelaware Life Insurance Company301256Agent - Variable Life and Variable Annuities6/14/200112/13/2006
InactiveEquitable Financial Life Insurance Company300808Agent - Life6/17/19998/31/2008
InactiveEverlake Life Insurance Company300873Agent - Life7/9/199912/11/2002
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities4/30/200112/11/2002
InactiveFirst Colony Life Insurance Company301179Agent - Life3/3/20061/1/2007
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health4/29/199712/11/2002
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life4/29/199712/11/2002
Pending ReplacementFortitude Life Insurance & Annuity Company301503Agent - Life10/7/2022 
Pending ReplacementFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities10/7/2022 
InactiveGenworth Life Insurance Company300623Agent - Health4/12/19958/31/2008
InactiveGenworth Life Insurance Company300623Agent - Life4/12/19958/31/2008
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health4/15/201012/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life4/15/201012/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Variable Life and Variable Annuities4/15/201012/7/2012
InactiveGuardian Life Insurance Company of America301316Agent - Health2/19/20048/31/2008
InactiveGuardian Life Insurance Company of America301316Agent - Life2/19/20048/31/2008
InactiveIllinois Mutual Life Insurance Company301479Agent - Health7/29/19987/20/2000
InactiveIllinois Mutual Life Insurance Company301479Agent - Life7/29/19987/20/2000
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health11/20/199710/25/2000
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life11/20/199710/25/2000
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health6/10/199710/25/2000
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life6/10/199710/25/2000
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life3/19/20094/11/2012
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities3/19/20094/11/2012
InactiveLincoln Benefit Life Company301110Agent - Health4/10/199511/26/2001
InactiveLincoln Benefit Life Company301110Agent - Life4/10/199511/26/2001
InactiveLincoln Benefit Life Company301110Agent - Variable Life and Variable Annuities5/4/200111/26/2001
Pending ReplacementLincoln National Life Insurance Company (The)301382Agent - Health5/1/2023 
Pending ReplacementLincoln National Life Insurance Company (The)301382Agent - Life5/1/2023 
Pending ReplacementLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities5/1/2023 
InactiveManufacturers Life Insurance Company of North America301899Agent - Life9/29/19981/22/2002
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health3/20/19953/31/1997
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life3/20/19953/31/1997
InactiveMetLife Investors USA Insurance Company300845Agent - Health3/14/200610/13/2008
InactiveMetLife Investors USA Insurance Company300845Agent - Life3/14/200610/13/2008
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Health12/2/199712/7/2007
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life12/2/199712/7/2007
InactiveMetropolitan Life Insurance Company301948Agent - Health12/18/199710/13/2008
InactiveMetropolitan Life Insurance Company301948Agent - Life12/18/199710/13/2008
InactiveMidland Life Insurance Company (The)300310Agent - Health9/11/19963/31/2001
InactiveMidland Life Insurance Company (The)300310Agent - Life9/11/19963/31/2001
InactiveNassau Life Insurance Company301406Agent - Health7/21/19922/13/2004
InactiveNassau Life Insurance Company301406Agent - Life7/21/19922/13/2004
InactiveNassau Life Insurance Company301406Agent - Variable Life and Variable Annuities5/30/20012/13/2004
InactiveNational Life Insurance Company301852Agent - Health1/18/199612/28/1998
InactiveNational Life Insurance Company301852Agent - Life1/18/199612/28/1998
Pending ReplacementNationwide Life Insurance Company300495Agent - Health9/20/2021 
Pending ReplacementNationwide Life Insurance Company300495Agent - Life9/20/2021 
Pending ReplacementNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities9/20/2021 
InactiveNationwide Life Insurance Company of America301134Agent - Health12/23/19966/5/2001
InactiveNationwide Life Insurance Company of America301134Agent - Life12/23/19966/5/2001
InactiveNew England Life Insurance Company300343Agent - Health12/12/199712/31/1998
InactiveNew England Life Insurance Company300343Agent - Life12/12/199712/31/1998
InactiveNorth American Company for Life and Health Insurance300291Agent - Health6/23/199512/11/2002
InactiveNorth American Company for Life and Health Insurance300291Agent - Life6/23/199512/11/2002
InactivePHL Variable Insurance Company300525Agent - Health1/18/19952/13/2004
InactivePHL Variable Insurance Company300525Agent - Life1/18/19952/13/2004
InactivePHL Variable Insurance Company300525Agent - Variable Life and Variable Annuities5/30/20012/13/2004
InactivePacific Life Insurance Company301848Agent - Life3/28/20178/18/2022
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities3/28/20178/18/2022
Pending ReplacementProtective Life Insurance Company300638Agent - Health2/5/2020 
Pending ReplacementProtective Life Insurance Company300638Agent - Life2/5/2020 
Pending ReplacementProtective Life Insurance Company300638Agent - Variable Life and Variable Annuities2/5/2020 
InactiveProvident Life and Accident Insurance Company301525Agent - Health7/7/20048/31/2008
InactiveProvident Life and Accident Insurance Company301525Agent - Life7/7/20048/31/2008
InactivePruco Life Insurance Company300954Agent - Health2/22/20109/1/2016
Pending ReplacementPruco Life Insurance Company300954Agent - Life9/28/2016 
Pending ReplacementPruco Life Insurance Company300954Agent - Variable Life and Variable Annuities9/28/2016 
InactivePrudential Insurance Company of America300784Agent - Life12/15/20008/31/2008
InactiveReassure America Life Insurance Company301902Agent - Health11/5/199712/11/2002
InactiveReassure America Life Insurance Company301902Agent - Life11/5/199712/11/2002
InactiveReliaStar Life Insurance Company301712Agent - Life6/23/20098/18/2009
InactiveSecurity Benefit Life Insurance Company300583Agent - Health3/13/20078/31/2008
InactiveSecurity Benefit Life Insurance Company300583Agent - Life3/13/20078/31/2008
InactiveSecurity Benefit Life Insurance Company300583Agent - Variable Life and Variable Annuities3/13/20078/31/2008
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health10/23/19893/31/1997
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life10/23/19893/31/1997
InactiveSunAmerica Annuity and Life Assurance Company301930Agent - Life4/12/19958/31/2008
InactiveTalcott Resolution Life Insurance Company301759Agent - Health12/4/200811/16/2011
InactiveTalcott Resolution Life Insurance Company301759Agent - Life12/4/200811/16/2011
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities12/4/200811/16/2011
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health12/4/200812/14/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life12/4/200812/14/2015
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities12/4/200812/14/2015
InactiveTime Insurance Company300683Agent - Health2/27/19953/31/1997
InactiveTime Insurance Company300683Agent - Life2/27/19953/31/1997
InactiveTransamerica Life Insurance Company300571Agent - Health4/2/19999/8/2002
InactiveTransamerica Life Insurance Company300571Agent - Life2/9/20099/14/2012
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities2/9/20099/14/2012
InactiveU.S. Financial Life Insurance Company301812Agent - Health1/9/19978/12/2003
InactiveU.S. Financial Life Insurance Company301812Agent - Life1/9/199711/7/2002
InactiveUNUM Life Insurance Company of America300817Agent - Health7/7/20048/31/2008
InactiveUNUM Life Insurance Company of America300817Agent - Life7/7/20048/31/2008
DeniedUSG Annuity & Life Company300457Agent - Life  
InactiveUnion Security Insurance Company301844Agent - Health3/21/199512/11/2002
InactiveUnion Security Insurance Company301844Agent - Life3/21/199512/17/2001
InactiveUnited of Omaha Life Insurance Company300156Agent - Health5/14/199612/11/2002
InactiveUnited of Omaha Life Insurance Company300156Agent - Life5/14/199612/11/2002
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Health7/7/20009/26/2002
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Life7/7/20009/26/2002
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Variable Life and Variable Annuities12/7/20019/26/2002
InactiveZurich American Life Insurance Company300216Agent - Life4/5/199512/11/2002
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcordia of Louisville Inc.401252Agent - Health7/1/19932/28/2003
InactiveAcordia of Louisville Inc.401252Agent - Life7/1/19932/28/2003
InactiveLouisville Insurance Agency Inc.399228Agent - Health9/9/19923/8/1999
InactiveLouisville Insurance Agency Inc.399228Agent - Life9/9/19923/8/1999
InactiveNational Insurance Agency Inc.401234Agent - Health2/3/19959/20/1999
InactiveNational Insurance Agency Inc.401234Agent - Life2/3/19959/20/1999

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