DEPARTMENT OF INSURANCE

Affiliations

Name	Micciulla, Bruce James	DOIID	672407	NAIC NPN	8572331

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	7/3/2014	12/31/2023
Inactive	Non Resident	Agent	Health	1/22/2008	12/31/2023
Inactive	Non Resident	Agent	Life	1/22/2008	12/31/2023
Inactive	Non Resident	Agent	Property	7/3/2014	12/31/2023
* 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	Accendo Insurance Company	300312	Agent - Health	3/4/2022	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	3/4/2022	12/31/2023
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	7/21/2020	12/31/2023
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/21/2020	12/31/2023
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/21/2020	12/31/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	3/17/2008	1/22/2010
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	3/17/2008	1/22/2010
Inactive	American General Life Insurance Company	301585	Agent - Health	2/27/2015	12/31/2023
Inactive	American General Life Insurance Company	301585	Agent - Life	2/27/2015	12/31/2023
Inactive	Assurity Life Insurance Company	301099	Agent - Health	3/29/2022	6/2/2022
Inactive	Assurity Life Insurance Company	301099	Agent - Life	3/29/2022	6/2/2022
Inactive	CMFG Life Insurance Company	300929	Agent - Health	11/11/2017	6/4/2019
Inactive	CMFG Life Insurance Company	300929	Agent - Life	11/11/2017	6/4/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/19/2014	3/14/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/4/2022	12/31/2023
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/19/2014	12/31/2023
Inactive	Genworth Life Insurance Company	300623	Agent - Health	2/14/2008	10/29/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Life	2/14/2008	10/29/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	2/14/2008	10/29/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	2/14/2008	10/29/2009
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/30/2015	12/31/2023
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/19/2014	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/19/2014	12/31/2023
Inactive	Humana Insurance Company	301104	Agent - Health	9/19/2014	12/31/2023
Inactive	Humana Insurance Company	301104	Agent - Life	9/19/2014	12/31/2023
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/19/2014	12/31/2023
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/19/2014	12/31/2023
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/30/2015	12/31/2023
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016	12/31/2023
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/19/2014	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/19/2014	10/22/2015
Inactive	Lumico Life Insurance Company	300354	Agent - Life	10/3/2019	8/22/2023
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	11/24/2015	12/31/2023
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	9/3/2013	12/31/2023
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	11/24/2015	12/31/2023
Inactive	SilverScript Insurance Company	663526	Agent - Health	7/21/2020	12/31/2023
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	9/5/2013	10/1/2015
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	9/5/2013	10/1/2015
Inactive	Tier One Insurance Company	301056	Agent - Health	10/21/2022	12/31/2023
Inactive	Tier One Insurance Company	301056	Agent - Life	10/21/2022	12/31/2023
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	9/5/2013	2/9/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	9/5/2013	2/9/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/9/2016	5/3/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/8/2016	5/3/2017
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/9/2016	12/5/2016
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	5/9/2016	5/3/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ins Dialogue Agency LLC	798353	Agent - Life	10/24/2014	3/24/2023
Inactive	Ins Dialogue Agency LLC	798353	Agent - Health	10/24/2014	3/24/2023
Inactive	Ins Dialogue Agency LLC	798353	Agent - Property	10/24/2014	3/24/2023
Inactive	Ins Dialogue Agency LLC	798353	Agent - Casualty	10/24/2014	3/24/2023
Inactive	Novo 1 Inc	815758	Agent - Life	7/27/2013	3/31/2021
Inactive	Novo 1 Inc	815758	Agent - Health	7/27/2013	3/31/2021
Inactive	Novo 1 Inc	815758	Agent - Property	6/18/2015	3/31/2021
Inactive	Novo 1 Inc	815758	Agent - Casualty	6/18/2015	3/31/2021