DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fosdick, Michael Allen	DOIID	871984	NAIC NPN	17346360

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	3/12/2015	10/31/2021
* 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 - Life	6/10/2020	10/31/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	11/21/2018	8/11/2021
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	5/18/2015	8/17/2017
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/10/2016	3/22/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	TZ Insurance Solutions LLC	727470	Agent - Life	11/21/2018	10/31/2021