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DEPARTMENT OF INSURANCE
Affiliations
Name
Miccoli Jr, Peter A
DOIID
391371
NAIC NPN
442219
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Life
11/18/2023
1/31/2025
Inactive
Non Resident
Agent
Health Maintenance Organization
4/21/2000
3/1/2001
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
5/31/2001
1/31/2015
Inactive
Non Resident
Agent
Health
11/26/1984
1/31/2015
* 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
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
11/15/2024
01/31/2025
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Alexander Hamilton Life Insurance Co. of America
301779
Agent - Health
11/20/1992
2/13/1998
Inactive
Alexander Hamilton Life Insurance Co. of America
301779
Agent - Life
11/20/1992
2/13/1998
Inactive
Banner Life Insurance Company
301696
Agent - Life
9/10/2008
1/31/2015
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Health
8/6/1997
12/31/2005
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Life
8/6/1997
12/31/2005
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Variable Life and Variable Annuities
6/29/2001
12/31/2005
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
2/10/2006
8/30/2013
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Life
3/28/2007
1/31/2015
Inactive
Equitable Financial Life Insurance Company
300808
Agent - Variable Life and Variable Annuities
3/28/2007
1/31/2015
Inactive
First Colony Life Insurance Company
301179
Agent - Health
6/24/2002
1/1/2007
Inactive
First Colony Life Insurance Company
301179
Agent - Life
6/24/2002
1/1/2007
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Health
7/10/2001
12/26/2008
Inactive
First Penn-Pacific Life Insurance Company
301581
Agent - Life
7/10/2001
12/26/2008
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
7/14/1998
12/23/2014
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
1/7/2003
12/23/2014
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
1/1/2007
12/4/2007
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
1/1/2007
12/4/2007
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
3/1/2001
8/30/2013
Inactive
Humana Health Plan, Inc.
300142
Agent - Health Maintenance Organization
4/21/2000
3/1/2001
Inactive
Humana Insurance Company
301104
Agent - Health
2/10/2006
8/30/2013
Inactive
Humana Insurance Company
301104
Agent - Life
2/10/2006
8/30/2013
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
2/27/2007
8/30/2013
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
2/27/2007
8/30/2013
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Health
10/4/2006
6/2/2008
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Life
10/4/2006
6/2/2008
Inactive
Jackson National Life Insurance Company
300486
Agent - Health
10/31/1997
3/11/2003
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
10/21/2005
1/31/2015
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
11/7/2005
1/31/2015
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
8/29/2006
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
8/29/2006
7/2/2007
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Variable Life and Variable Annuities
8/29/2006
7/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Health
8/29/2006
4/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Life
8/29/2006
4/2/2007
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Variable Life and Variable Annuities
8/29/2006
4/2/2007
Inactive
John Alden Life Insurance Company
300573
Agent - Health
9/25/1996
4/13/1998
Inactive
John Alden Life Insurance Company
300573
Agent - Life
9/25/1996
4/13/1998
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
11/29/2007
7/27/2009
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
11/29/2007
7/27/2009
Inactive
Kanawha Insurance Company
300127
Agent - Health
4/10/2008
8/30/2013
Inactive
Kanawha Insurance Company
300127
Agent - Life
4/10/2008
8/30/2013
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
11/26/1984
2/25/2015
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
11/26/1984
2/25/2015
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
5/31/2001
2/25/2015
Inactive
Nassau Life Insurance Company
301406
Agent - Health
3/26/2001
2/13/2004
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
10/24/2012
12/15/2014
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
10/24/2012
12/15/2014
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
10/24/2012
1/31/2015
Inactive
Oceanview Life and Annuity Company
301868
Agent - Life
7/16/2020
1/31/2021
Inactive
PHL Variable Insurance Company
300525
Agent - Health
3/26/2001
2/13/2004
Inactive
Pacific Life Insurance Company
301848
Agent - Life
11/10/2009
1/31/2015
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
11/10/2009
1/31/2015
Inactive
Paul Revere Life Insurance Company
300971
Agent - Health
12/27/1999
12/11/2002
Inactive
Paul Revere Life Insurance Company
300971
Agent - Life
12/27/1999
12/11/2002
Inactive
Penn Insurance and Annuity Company
300712
Agent - Life
11/22/2010
7/29/2011
Inactive
Penn Mutual Life Insurance Company
301394
Agent - Life
11/22/2010
7/29/2011
Inactive
Principal Life Insurance Company
300129
Agent - Health
3/26/1986
11/25/2009
Inactive
Principal Life Insurance Company
300129
Agent - Life
3/26/1986
11/25/2009
Active
Protective Life Insurance Company
300638
Agent - Life
11/30/2023
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
12/27/1999
1/31/2015
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
12/27/1999
1/31/2015
Inactive
Pruco Life Insurance Company
300954
Agent - Health
8/23/2005
12/23/2014
Inactive
Pruco Life Insurance Company
300954
Agent - Life
8/23/2005
12/23/2014
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
12/3/2008
10/5/2012
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
12/3/2008
10/5/2012
Inactive
ReliaStar Life Insurance Company
301712
Agent - Variable Life and Variable Annuities
12/3/2008
10/5/2012
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Health
3/9/1993
12/30/1998
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Life
3/9/1993
12/30/1998
Inactive
Standard Insurance Company
300185
Agent - Health
9/19/2003
4/29/2009
Inactive
Standard Insurance Company
300185
Agent - Life
9/19/2003
4/29/2009
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
8/20/2011
3/1/2012
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
8/20/2011
3/1/2012
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Variable Life and Variable Annuities
8/20/2011
3/1/2012
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
12/27/1999
1/31/2015
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
12/27/1999
1/31/2015
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
11/25/2003
4/16/2010
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
11/25/2003
4/16/2010
Inactive
West Coast Life Insurance Company
301607
Agent - Health
12/24/2007
11/23/2009
Inactive
West Coast Life Insurance Company
301607
Agent - Life
12/24/2007
11/23/2009
Inactive
West Coast Life Insurance Company
301607
Agent - Variable Life and Variable Annuities
12/24/2007
11/23/2009
Inactive
Zurich American Life Insurance Company
300216
Agent - Life
3/22/2001
7/13/2011
Inactive
Zurich American Life Insurance Company
300216
Agent - Variable Life and Variable Annuities
5/31/2001
7/13/2011
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Dental Choice Agency Inc.
398085
Agent - Health
1/30/2002
1/9/2014
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