DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bartolotta, Michael S	DOIID	704900	NAIC NPN	1352860

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	4/30/2009	2/28/2019
Inactive	Non Resident	Agent	Life	4/30/2009	2/28/2019
* 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	American Equity Investment Life Insurance Company	300389	Agent - Life	3/25/2013	8/14/2018
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Health	6/1/2011	2/28/2019
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	6/1/2011	2/28/2019
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	2/4/2014	2/28/2019
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	9/10/2009	2/28/2019
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	9/10/2009	2/28/2019
Inactive	National Western Life Insurance Company	301515	Agent - Health	9/3/2009	12/11/2018
Inactive	National Western Life Insurance Company	301515	Agent - Life	9/3/2009	2/28/2019
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	8/4/2010	2/28/2019
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	6/25/2010	2/28/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Simplicity Financial Distributors Inc.	708147	Agent - Life	6/22/2009	10/11/2018
Inactive	Simplicity Financial Distributors Inc.	708147	Agent - Health	6/22/2009	10/11/2018