DEPARTMENT OF INSURANCE
Affiliations
NameMiccoli Jr, Peter ADOIID391371NAIC NPN442219
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife11/18/2023 1/31/2025
InactiveNon ResidentAgentHealth Maintenance Organization4/21/20003/1/2001 
InactiveNon ResidentAgentVariable Life and Variable Annuities5/31/20011/31/2015 
InactiveNon ResidentAgentHealth11/26/19841/31/2015 
* 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
Agent11/15/202401/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAlexander Hamilton Life Insurance Co. of America301779Agent - Health11/20/19922/13/1998
InactiveAlexander Hamilton Life Insurance Co. of America301779Agent - Life11/20/19922/13/1998
InactiveBanner Life Insurance Company301696Agent - Life9/10/20081/31/2015
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Health8/6/199712/31/2005
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Life8/6/199712/31/2005
InactiveCommonwealth Annuity and Life Insurance Company300798Agent - Variable Life and Variable Annuities6/29/200112/31/2005
InactiveDental Concern Inc. (The)301641Agent - Health2/10/20068/30/2013
InactiveEquitable Financial Life Insurance Company300808Agent - Life3/28/20071/31/2015
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities3/28/20071/31/2015
InactiveFirst Colony Life Insurance Company301179Agent - Health6/24/20021/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life6/24/20021/1/2007
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Health7/10/200112/26/2008
InactiveFirst Penn-Pacific Life Insurance Company301581Agent - Life7/10/200112/26/2008
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life7/14/199812/23/2014
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities1/7/200312/23/2014
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health1/1/200712/4/2007
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life1/1/200712/4/2007
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/20018/30/2013
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization4/21/20003/1/2001
InactiveHumana Insurance Company301104Agent - Health2/10/20068/30/2013
InactiveHumana Insurance Company301104Agent - Life2/10/20068/30/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Health2/27/20078/30/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Life2/27/20078/30/2013
InactiveIllinois Mutual Life Insurance Company301479Agent - Health10/4/20066/2/2008
InactiveIllinois Mutual Life Insurance Company301479Agent - Life10/4/20066/2/2008
InactiveJackson National Life Insurance Company300486Agent - Health10/31/19973/11/2003
InactiveJackson National Life Insurance Company300486Agent - Life10/21/20051/31/2015
InactiveJackson National Life Insurance Company300486Agent - Variable Life and Variable Annuities11/7/20051/31/2015
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health8/29/20067/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life8/29/20067/2/2007
InactiveJefferson Pilot Financial Insurance Company300756Agent - Variable Life and Variable Annuities8/29/20067/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Health8/29/20064/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life8/29/20064/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Variable Life and Variable Annuities8/29/20064/2/2007
InactiveJohn Alden Life Insurance Company300573Agent - Health9/25/19964/13/1998
InactiveJohn Alden Life Insurance Company300573Agent - Life9/25/19964/13/1998
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health11/29/20077/27/2009
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life11/29/20077/27/2009
InactiveKanawha Insurance Company300127Agent - Health4/10/20088/30/2013
InactiveKanawha Insurance Company300127Agent - Life4/10/20088/30/2013
InactiveLincoln National Life Insurance Company (The)301382Agent - Health11/26/19842/25/2015
InactiveLincoln National Life Insurance Company (The)301382Agent - Life11/26/19842/25/2015
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities5/31/20012/25/2015
InactiveNassau Life Insurance Company301406Agent - Health3/26/20012/13/2004
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health10/24/201212/15/2014
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life10/24/201212/15/2014
InactiveNorth American Company for Life and Health Insurance300291Agent - Life10/24/20121/31/2015
InactiveOceanview Life and Annuity Company301868Agent - Life7/16/20201/31/2021
InactivePHL Variable Insurance Company300525Agent - Health3/26/20012/13/2004
InactivePacific Life Insurance Company301848Agent - Life11/10/20091/31/2015
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities11/10/20091/31/2015
InactivePaul Revere Life Insurance Company300971Agent - Health12/27/199912/11/2002
InactivePaul Revere Life Insurance Company300971Agent - Life12/27/199912/11/2002
InactivePenn Insurance and Annuity Company300712Agent - Life11/22/20107/29/2011
InactivePenn Mutual Life Insurance Company301394Agent - Life11/22/20107/29/2011
InactivePrincipal Life Insurance Company300129Agent - Health3/26/198611/25/2009
InactivePrincipal Life Insurance Company300129Agent - Life3/26/198611/25/2009
ActiveProtective Life Insurance Company300638Agent - Life11/30/2023 
InactiveProvident Life and Accident Insurance Company301525Agent - Health12/27/19991/31/2015
InactiveProvident Life and Accident Insurance Company301525Agent - Life12/27/19991/31/2015
InactivePruco Life Insurance Company300954Agent - Health8/23/200512/23/2014
InactivePruco Life Insurance Company300954Agent - Life8/23/200512/23/2014
InactiveReliaStar Life Insurance Company301712Agent - Health12/3/200810/5/2012
InactiveReliaStar Life Insurance Company301712Agent - Life12/3/200810/5/2012
InactiveReliaStar Life Insurance Company301712Agent - Variable Life and Variable Annuities12/3/200810/5/2012
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health3/9/199312/30/1998
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life3/9/199312/30/1998
InactiveStandard Insurance Company300185Agent - Health9/19/20034/29/2009
InactiveStandard Insurance Company300185Agent - Life9/19/20034/29/2009
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health8/20/20113/1/2012
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life8/20/20113/1/2012
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities8/20/20113/1/2012
InactiveUNUM Life Insurance Company of America300817Agent - Health12/27/19991/31/2015
InactiveUNUM Life Insurance Company of America300817Agent - Life12/27/19991/31/2015
InactiveUnited of Omaha Life Insurance Company300156Agent - Health11/25/20034/16/2010
InactiveUnited of Omaha Life Insurance Company300156Agent - Life11/25/20034/16/2010
InactiveWest Coast Life Insurance Company301607Agent - Health12/24/200711/23/2009
InactiveWest Coast Life Insurance Company301607Agent - Life12/24/200711/23/2009
InactiveWest Coast Life Insurance Company301607Agent - Variable Life and Variable Annuities12/24/200711/23/2009
InactiveZurich American Life Insurance Company300216Agent - Life3/22/20017/13/2011
InactiveZurich American Life Insurance Company300216Agent - Variable Life and Variable Annuities5/31/20017/13/2011
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDental Choice Agency Inc.398085Agent - Health1/30/20021/9/2014

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