DEPARTMENT OF INSURANCE
Affiliations
NameStaley, Michael DeanDOIID577854NAIC NPN7895714
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth10/23/200310/31/2021 
InactiveResidentAgentVariable Life and Variable Annuities7/6/200410/31/2021 
InactiveResidentAgentLife11/4/200310/31/2021 
* 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 - Health3/14/20051/20/2015
InactiveAllianz Life Insurance Company of North America301791Agent - Life3/14/20051/20/2015
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities3/14/20051/20/2015
InactiveAmerican Equity Investment Life Insurance Company300389Agent - Life2/8/201212/27/2016
InactiveAthene Annuity and Life Company301893Agent - Life7/31/201210/31/2021
InactiveEquiTrust Life Insurance Company502870Agent - Life1/24/20085/12/2011
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Health12/19/20073/10/2009
InactiveFidelity & Guaranty Life Insurance Company301359Agent - Life1/8/20106/3/2019
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life1/12/200711/8/2011
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities1/12/200711/8/2011
InactiveIndianapolis Life Insurance Company301381Agent - Life12/4/200710/1/2008
InactiveLife Insurance Company of the Southwest301867Agent - Health5/1/20088/30/2010
InactiveLife Insurance Company of the Southwest301867Agent - Life5/1/20088/30/2010
InactiveNational Life Insurance Company301852Agent - Health5/1/20088/30/2010
InactiveNational Life Insurance Company301852Agent - Life5/1/20088/30/2010
InactiveNational Western Life Insurance Company301515Agent - Life3/23/201010/31/2021
InactivePacific Life Insurance Company301848Agent - Life8/9/20057/23/2013
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities8/9/20057/23/2013
InactiveSecurity Benefit Life Insurance Company300583Agent - Health2/16/200712/7/2017
InactiveSecurity Benefit Life Insurance Company300583Agent - Life2/16/200712/7/2017
InactiveSecurity Benefit Life Insurance Company300583Agent - Variable Life and Variable Annuities2/16/200712/7/2017
InactiveVenerable Insurance and Annuity Company301006Agent - Life8/21/200712/22/2009
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities8/21/200712/22/2009
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Health10/23/20031/29/2013
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Life11/4/20031/29/2013
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Variable Life and Variable Annuities7/23/200410/31/2013
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCapital Financial Services, Inc.616212Agent - Health5/7/20073/31/2021
InactiveCapital Financial Services, Inc.616212Agent - Life11/2/20153/31/2021
InactiveCapital Financial Services, Inc.616212Agent - Variable Life and Variable Annuities5/7/200712/7/2017
InactiveWorld Financial Group Insurance Agency, LLC400520Agent - Health11/7/200312/6/2006
InactiveWorld Financial Group Insurance Agency, LLC400520Agent - Life11/7/200312/6/2006

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