DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Merrill, Michael Franklin	DOIID	860303	NAIC NPN	8325765

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/10/2014		7/31/2026
Active	Non Resident	Agent	Health	11/10/2014		7/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2024	07/31/2024	06/10/2024	06/10/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	4/2/2021
Active	American General Life Insurance Company	301585	Agent - Health	10/3/2022
Active	American General Life Insurance Company	301585	Agent - Life	10/3/2022
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	7/2/2018	12/29/2020
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	7/2/2018	12/29/2020
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Health	4/18/2016	12/28/2018
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	4/18/2016	12/28/2018
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Health	4/18/2016	12/18/2018
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	4/18/2016	12/18/2018
Active	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	6/18/2020
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	11/14/2014	4/27/2018
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	11/14/2014	4/27/2018
Active	North American Company for Life and Health Insurance	300291	Agent - Life	3/16/2015
Active	Principal Life Insurance Company	300129	Agent - Health	4/16/2015
Active	Principal Life Insurance Company	300129	Agent - Life	4/16/2015
Inactive	Protective Life Insurance Company	300638	Agent - Health	1/16/2019	11/23/2021
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/16/2019	11/23/2021
Active	Pruco Life Insurance Company	300954	Agent - Life	5/11/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	TBS Agency, Inc.	502294	Agent - Life	2/10/2023
Active	TBS Agency, Inc.	502294	Agent - Health	2/10/2023