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.

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