DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Haggerty, Michael Thomas	DOIID	580594	NAIC NPN	1682088

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	1/7/2005	6/3/2015
Inactive	Non Resident	Agent	Life	11/14/2003	6/3/2015
Inactive	Non Resident	Agent	Health	11/14/2003	6/3/2015
* 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	Hartford Life and Accident Insurance Company	300878	Agent - Health	1/9/2004	6/3/2015
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	1/9/2004	6/3/2015
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	4/4/2012	6/3/2015
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	4/4/2012	6/3/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Physicians Planning Service Corporation Of Connecticut	398049	Agent - Life	6/2/2004	7/6/2015
Inactive	Physicians Planning Service Corporation Of Connecticut	398049	Agent - Health	6/2/2004	7/6/2015
Inactive	Physicians Planning Service Corporation Of Connecticut	398049	Administrator - Not Applicable	1/7/2005	6/3/2015