DEPARTMENT OF INSURANCE

Affiliations

Name	Bellush, Michael Andrew	DOIID	612718	NAIC NPN	8298448

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	7/29/2005	12/31/2007
Inactive	Non Resident	Agent	Life	7/29/2005	12/31/2007
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	7/29/2005	12/31/2007
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	General American Life Insurance Company	300280	Agent - Health	9/18/2006	10/25/2006
Inactive	General American Life Insurance Company	300280	Agent - Life	9/18/2006	10/25/2006
Inactive	General American Life Insurance Company	300280	Agent - Variable Life and Variable Annuities	9/18/2006	10/25/2006
Inactive	Genworth Life Insurance Company	300623	Agent - Health	8/11/2005	10/26/2006
Inactive	Genworth Life Insurance Company	300623	Agent - Life	8/11/2005	10/25/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	8/11/2005	11/17/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	8/11/2005	11/17/2006
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	8/1/2005	10/24/2006
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	8/1/2005	10/24/2006
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	8/1/2005	10/24/2006
Inactive	MetLife Investors Insurance Company	301872	Agent - Health	8/10/2005	8/28/2006
Inactive	MetLife Investors Insurance Company	301872	Agent - Life	8/10/2005	8/28/2006
Inactive	MetLife Investors Insurance Company	301872	Agent - Variable Life and Variable Annuities	8/10/2005	8/28/2006
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	9/18/2006	10/25/2006
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	9/18/2006	10/25/2006
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Variable Life and Variable Annuities	9/18/2006	10/25/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	9/18/2006	10/25/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	9/18/2006	10/25/2006
Inactive	Metropolitan Life Insurance Company	301948	Agent - Variable Life and Variable Annuities	9/18/2006	10/25/2006
Inactive	New England Life Insurance Company	300343	Agent - Health	9/18/2006	10/25/2006
Inactive	New England Life Insurance Company	300343	Agent - Life	9/18/2006	10/25/2006
Inactive	New England Life Insurance Company	300343	Agent - Variable Life and Variable Annuities	9/18/2006	10/25/2006
Inactive	Protective Life Insurance Company	300638	Agent - Health	8/9/2005	10/24/2006
Inactive	Protective Life Insurance Company	300638	Agent - Life	8/9/2005	10/24/2006
Inactive	Protective Life Insurance Company	300638	Agent - Variable Life and Variable Annuities	8/9/2005	10/24/2006
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Life	8/10/2005	12/31/2007
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Variable Life and Variable Annuities	8/10/2005	12/31/2007
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	8/9/2005	12/31/2007
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	8/9/2005	12/31/2007
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	8/9/2005	12/31/2007
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Variable Life and Variable Annuities	8/9/2005	12/31/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Edward D Jones & Co. Limited Partnership	398146	Agent - Life	8/25/2005	12/5/2006
Inactive	Edward D Jones & Co. Limited Partnership	398146	Agent - Health	8/25/2005	11/17/2006
Inactive	Edward D Jones & Co. Limited Partnership	398146	Agent - Variable Life and Variable Annuities	8/25/2005	12/5/2006