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DEPARTMENT OF INSURANCE
Affiliations
Name
Petrosky, Michael Patrick
DOIID
636209
NAIC NPN
8858918
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Health
7/8/2024
11/30/2025
Active
Resident
Agent
Life
7/8/2024
11/30/2025
Active
Resident
Agent
Variable Life and Variable Annuities
7/8/2024
11/30/2025
* 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.
License Renewal Information
Class
Invoice Date
Response Due / Expiration Date
Response Received Date
Payment Received Date
Renewal Complete
Agent
09/15/2025
11/30/2025
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
3/6/2021
11/30/2022
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
3/6/2021
11/25/2022
Active
American General Life Insurance Company
301585
Agent - Health
9/12/2024
Active
American General Life Insurance Company
301585
Agent - Life
9/12/2024
Active
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
9/12/2024
Inactive
Assurity Life Insurance Company
301099
Agent - Health
5/3/2007
1/26/2009
Inactive
Assurity Life Insurance Company
301099
Agent - Life
5/3/2007
1/26/2009
Inactive
Athene Annuity and Life Company
301893
Agent - Life
11/8/2023
12/1/2023
Inactive
Banner Life Insurance Company
301696
Agent - Life
9/1/2016
12/1/2023
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
12/5/2019
12/1/2023
Inactive
Brighthouse Life Insurance Company
301829
Agent - Variable Life and Variable Annuities
12/5/2019
12/1/2023
Inactive
First Colony Life Insurance Company
301179
Agent - Health
11/17/2006
1/1/2007
Inactive
First Colony Life Insurance Company
301179
Agent - Life
11/17/2006
1/1/2007
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Health
1/1/2007
12/14/2016
Inactive
Genworth Life and Annuity Insurance Company
301276
Agent - Life
1/1/2007
12/14/2016
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
5/22/2017
7/9/2021
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
5/22/2017
7/9/2021
Inactive
John Hancock Life Insurance Company
300821
Agent - Health
10/26/2006
6/7/2008
Inactive
John Hancock Life Insurance Company
300821
Agent - Life
10/26/2006
6/7/2008
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
6/18/2009
4/18/2012
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
6/18/2009
4/18/2012
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Health
7/18/2024
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Life
7/18/2024
Active
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
7/18/2024
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
7/3/2012
12/16/2014
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
7/3/2012
12/16/2014
Inactive
Minnesota Life Insurance Company
300488
Agent - Health
7/2/2009
12/1/2023
Inactive
Minnesota Life Insurance Company
300488
Agent - Life
10/17/2006
12/1/2023
Inactive
Minnesota Life Insurance Company
300488
Agent - Variable Life and Variable Annuities
10/17/2006
12/1/2023
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
9/1/2011
12/26/2012
Active
Nationwide Life Insurance Company
300495
Agent - Health
11/25/2024
Active
Nationwide Life Insurance Company
300495
Agent - Life
11/25/2024
Active
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
11/25/2024
Active
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
11/25/2024
Active
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
11/25/2024
Active
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
11/25/2024
Inactive
North American Company for Life and Health Insurance
300291
Agent - Health
10/13/2006
2/10/2009
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
10/13/2006
2/10/2009
Inactive
Principal Life Insurance Company
300129
Agent - Health
10/11/2010
12/1/2023
Inactive
Principal Life Insurance Company
300129
Agent - Life
10/11/2010
12/1/2023
Inactive
Protective Life Insurance Company
300638
Agent - Health
7/12/2022
11/23/2023
Inactive
Protective Life Insurance Company
300638
Agent - Life
7/12/2022
11/23/2023
Inactive
Protective Life Insurance Company
300638
Agent - Variable Life and Variable Annuities
7/12/2022
11/23/2023
Inactive
Pruco Life Insurance Company
300954
Agent - Health
8/29/2007
12/23/2014
Inactive
Pruco Life Insurance Company
300954
Agent - Life
7/26/2022
12/1/2023
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
7/26/2022
12/1/2023
Inactive
Standard Insurance Company
300185
Agent - Health
3/1/2008
12/5/2022
Inactive
Standard Insurance Company
300185
Agent - Life
3/1/2008
12/5/2022
Inactive
Transamerica Life Insurance Company
300571
Agent - Health
9/27/2021
12/15/2023
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
9/27/2021
12/15/2023
Inactive
West Coast Life Insurance Company
301607
Agent - Life
5/8/2007
11/23/2009
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
LPL FINANCIAL LLC
399327
Agent - Health
8/9/2018
12/1/2023
Inactive
LPL FINANCIAL LLC
399327
Agent - Life
8/9/2018
12/1/2023
Inactive
LPL FINANCIAL LLC
399327
Agent - Variable Life and Variable Annuities
8/9/2018
12/1/2023
Inactive
W & R Insurance Agency
398729
Agent - Health
10/13/2006
8/3/2018
Inactive
W & R Insurance Agency
398729
Agent - Life
9/19/2006
8/3/2018
Inactive
W & R Insurance Agency
398729
Agent - Variable Life and Variable Annuities
10/24/2006
8/3/2018
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