DEPARTMENT OF INSURANCE

Affiliations

Name	Mould, Michael Thomas	DOIID	644002	NAIC NPN	8963691

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	4/11/2023	1/31/2026
Active	Non Resident	Agent	Health	11/8/2022	1/31/2026
Active	Non Resident	Agent	Life	11/8/2022	1/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Administrator	11/15/2025	01/31/2026
Agent	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AAA Life Insurance Company	300287	Agent - Health	2/21/2022	8/4/2022
Inactive	AAA Life Insurance Company	300287	Agent - Life	2/21/2022	8/4/2022
Inactive	American General Life Insurance Company	301585	Agent - Health	11/29/2006	8/4/2022
Inactive	American General Life Insurance Company	301585	Agent - Life	11/29/2006	8/4/2022
Active	Ameritas Life Insurance Corporation	300126	Agent - Life	6/12/2024
Active	Assurity Life Insurance Company	301099	Agent - Health	1/15/2023
Active	Assurity Life Insurance Company	301099	Agent - Life	1/15/2023
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	12/4/2006	6/7/2011
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	12/4/2006	6/7/2011
Inactive	Banner Life Insurance Company	301696	Agent - Life	1/28/2013	8/4/2022
Inactive	C.M. Life Insurance Company	301335	Agent - Life	12/12/2019	12/3/2021
Active	CMFG Life Insurance Company	300929	Agent - Life	4/24/2023
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	3/13/2024	5/16/2024
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/4/2007	9/19/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/4/2007	9/19/2009
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	11/20/2006	1/26/2022
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	11/20/2006	1/26/2022
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	2/8/2017	8/4/2022
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	2/8/2017	8/4/2022
Active	MEMBERS Life Insurance Company	301289	Agent - Life	4/24/2023
Denied	Mutual of Omaha Insurance Company	301012	Agent - Health
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	1/25/2023
Active	Protective Life Insurance Company	300638	Agent - Health	10/10/2024
Active	Protective Life Insurance Company	300638	Agent - Life	10/10/2024
Inactive	Pruco Life Insurance Company	300954	Agent - Health	12/12/2006	8/4/2022
Inactive	Pruco Life Insurance Company	300954	Agent - Life	12/12/2006	8/4/2022
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	2/20/2007	2/3/2017
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	2/20/2007	2/3/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/22/2018	8/4/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/22/2018	8/4/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ethos Technologies Inc.	934675	Agent - Life	11/9/2022
Active	Ethos Technologies Inc.	934675	Agent - Health	11/9/2022
Active	Ethos Technologies Inc.	934675	Administrator - Not Applicable	4/25/2023
Inactive	SelectQuote Insurance Services	533194	Agent - Life	1/22/2007	8/4/2022
Inactive	SelectQuote Insurance Services	533194	Agent - Health	1/22/2007	8/4/2022