DEPARTMENT OF INSURANCE
Affiliations
NameMitchell, Roberta DOIID683272NAIC NPN9582778
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife6/20/20087/31/2012 
InactiveNon ResidentAgentVariable Life and Variable Annuities6/20/20087/31/2012 
InactiveNon ResidentAgentHealth6/20/20087/31/2012 
* 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
InactiveC.M. Life Insurance Company301335Agent - Health4/29/20097/31/2012
InactiveC.M. Life Insurance Company301335Agent - Life4/29/20097/31/2012
InactiveC.M. Life Insurance Company301335Agent - Variable Life and Variable Annuities4/29/20097/31/2012
InactiveEverlake Life Insurance Company300873Agent - Life5/8/20097/31/2012
InactiveEverlake Life Insurance Company300873Agent - Variable Life and Variable Annuities5/8/20097/31/2012
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health4/29/20097/31/2012
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life4/29/20097/31/2012
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Variable Life and Variable Annuities4/29/20097/31/2012
InactiveNationwide Life Insurance Company300495Agent - Health4/28/20097/13/2012
InactiveNationwide Life Insurance Company300495Agent - Life4/28/20097/13/2012
InactiveNationwide Life Insurance Company300495Agent - Variable Life and Variable Annuities4/28/20097/13/2012
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life4/28/20097/13/2012
InactiveNationwide Life and Annuity Insurance Company300714Agent - Variable Life and Variable Annuities4/28/20097/13/2012
InactiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities6/4/20091/20/2012
InactiveRevol One Insurance Company300681Agent - Health4/23/20097/31/2012
InactiveRevol One Insurance Company300681Agent - Life4/23/20097/31/2012
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHsbc Ins Agency Usa Inc545029Agent - Life4/23/200912/7/2011
DeniedHsbc Ins Agency Usa Inc545029Agent - Variable Life and Variable Annuities  
InactiveHsbc Ins Agency Usa Inc545029Agent - Health4/23/200912/7/2011

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