DEPARTMENT OF INSURANCE
Affiliations
NameKozak, Michael DOIID750114NAIC NPN1732632
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife5/9/20142/28/2018 
InactiveNon ResidentAgentVariable Life and Variable Annuities5/9/20142/28/2018 
InactiveNon ResidentAgentHealth11/12/20152/28/2018 
* 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
InactiveAmerican General Life Insurance Company301585Agent - Life9/9/20152/28/2018
InactiveAmerican General Life Insurance Company301585Agent - Variable Life and Variable Annuities9/9/20152/28/2018
InactiveBrighthouse Life Insurance Company301829Agent - Life9/11/20172/28/2018
InactiveBrighthouse Life Insurance Company301829Agent - Variable Life and Variable Annuities9/11/20172/28/2018
InactiveEquitable Financial Life Insurance Company300808Agent - Life3/28/201111/7/2012
InactiveEquitable Financial Life Insurance Company300808Agent - Variable Life and Variable Annuities3/28/201111/7/2012
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health11/12/201511/19/2017
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life11/8/20112/28/2014
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveUbs Financial Services Ins Agency Inc399373Agent - Life9/9/20152/28/2018
InactiveUbs Financial Services Ins Agency Inc399373Agent - Variable Life and Variable Annuities9/9/20152/28/2018

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