DEPARTMENT OF INSURANCE
Affiliations
NameAgricola, Michael RobertDOIID580851NAIC NPN5691462
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth11/19/20032/28/2014 
InactiveNon ResidentAgentVariable Life and Variable Annuities11/19/20032/28/2014 
InactiveNon ResidentAgentLife11/19/20032/28/2014 
* 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
InactiveGenworth Life Insurance Company300623Agent - Health12/2/200312/7/2012
InactiveGenworth Life Insurance Company300623Agent - Life12/2/200312/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health12/1/20035/3/2004
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life12/1/20035/3/2004
InactiveGenworth Life and Annuity Insurance Company301276Agent - Variable Life and Variable Annuities12/1/20035/3/2004
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life12/2/20035/28/2010
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Variable Life and Variable Annuities12/2/20035/28/2010
InactiveNationwide Life Insurance Company300495Agent - Health12/8/20035/30/2004
InactiveNationwide Life Insurance Company300495Agent - Life12/8/20035/30/2004
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities12/8/20035/30/2004
InactiveTalcott Resolution Life Insurance Company301759Agent - Health11/19/20036/16/2004
InactiveTalcott Resolution Life Insurance Company301759Agent - Life11/19/20036/16/2004
InactiveTalcott Resolution Life Insurance Company301759Agent - Variable Life and Variable Annuities11/19/200310/1/2007
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health11/19/20036/16/2004
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life11/19/20036/16/2004
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Variable Life and Variable Annuities11/19/20036/16/2004
InactiveVenerable Insurance and Annuity Company301006Agent - Life12/2/20039/3/2008
InactiveVenerable Insurance and Annuity Company301006Agent - Variable Life and Variable Annuities12/2/20039/3/2008
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveUbs Financial Services Ins Agency Inc399373Agent - Health1/23/20041/26/2005
InactiveUbs Financial Services Ins Agency Inc399373Agent - Life1/23/20041/26/2005
InactiveUbs Financial Services Ins Agency Inc399373Agent - Variable Life and Variable Annuities1/23/20041/26/2005

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