DEPARTMENT OF INSURANCE
Affiliations
NameChiha, Michael EDOIID635571NAIC NPN8297134
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth1/3/20221/31/2026 
InactiveNon ResidentAgentLife1/3/20221/31/2026 
InactiveNon ResidentAgentVariable Life and Variable Annuities1/3/20221/31/2026 
* 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
InactiveFortitude Life Insurance & Annuity Company301503Agent - Life3/19/20241/31/2026
InactiveFortitude Life Insurance & Annuity Company301503Agent - Variable Life and Variable Annuities3/19/20241/31/2026
InactivePruco Life Insurance Company300954Agent - Health7/24/20061/31/2008
InactivePruco Life Insurance Company300954Agent - Life1/6/20221/31/2026
InactivePruco Life Insurance Company300954Agent - Variable Life and Variable Annuities1/6/20221/31/2026
InactivePrudential Insurance Company of America300784Agent - Health1/6/20221/31/2026
InactivePrudential Insurance Company of America300784Agent - Life1/6/20221/31/2026
InactivePrudential Insurance Company of America300784Agent - Variable Life and Variable Annuities1/6/20221/31/2026
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveLPL Enterprise, LLC1333130Agent - Health11/25/20241/31/2026
InactiveLPL Enterprise, LLC1333130Agent - Life11/25/20241/31/2026
InactiveLPL Enterprise, LLC1333130Agent - Variable Life and Variable Annuities11/25/20241/31/2026
InactivePrudential Insurance Agency LLC620187Agent - Health1/7/20221/31/2026
InactivePrudential Insurance Agency LLC620187Agent - Life1/7/20221/31/2026
InactivePrudential Insurance Agency LLC620187Agent - Variable Life and Variable Annuities1/7/20221/31/2026

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