DEPARTMENT OF INSURANCE
Affiliations
NameScott, Michael DOIID897355NAIC NPN17764124
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife11/13/2015 3/31/2025
ActiveResidentAgentVariable Life and Variable Annuities6/28/2016 3/31/2025
ActiveResidentAgentHealth11/12/2015 3/31/2025
* 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.

License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveEmpower Annuity Insurance Company of America300259Agent - Life12/22/20162/9/2019
InactiveLife Insurance Company of the Southwest301867Agent - Health12/27/20161/22/2018
InactiveLife Insurance Company of the Southwest301867Agent - Life12/27/20161/22/2018
InactiveLincoln Life Assurance Company of Boston301915Agent - Life6/10/20167/27/2017
InactiveLincoln National Life Insurance Company (The)301382Agent - Health7/20/201612/18/2017
InactiveLincoln National Life Insurance Company (The)301382Agent - Life7/20/201612/18/2017
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities7/20/201612/18/2017
ActiveNYLIFE Insurance Company of Arizona301642Agent - Life5/2/2023 
ActiveNew York Life Insurance Company300431Agent - Health11/14/2019 
ActiveNew York Life Insurance Company300431Agent - Life11/14/2019 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Health11/14/2019 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Life11/14/2019 
ActiveNew York Life Insurance and Annuity Corporation300726Agent - Variable Life and Variable Annuities12/20/2019 
InactiveNorthwestern Long Term Care Insurance Company300135Agent - Health9/4/201811/13/2019
InactiveNorthwestern Mutual Life Insurance Company300931Agent - Health5/23/201811/13/2019
InactiveNorthwestern Mutual Life Insurance Company300931Agent - Life5/23/201811/13/2019
InactiveNorthwestern Mutual Life Insurance Company300931Agent - Variable Life and Variable Annuities6/20/201811/13/2019
InactivePruco Life Insurance Company300954Agent - Life6/13/201612/24/2018
InactiveStandard Insurance Company300185Agent - Health6/28/201612/5/2022
InactiveStandard Insurance Company300185Agent - Life6/28/201612/5/2022
InactiveState Life Insurance Company301497Agent - Health6/12/20166/12/2017
InactiveState Life Insurance Company301497Agent - Life6/12/20166/12/2017
InactiveTransamerica Life Insurance Company300571Agent - Life6/14/20167/17/2017
InactiveTransamerica Life Insurance Company300571Agent - Variable Life and Variable Annuities7/18/20167/17/2017
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFifth Third Insurance Agency Inc399341Agent - Life6/10/20166/12/2017
InactiveFifth Third Insurance Agency Inc399341Agent - Health6/12/20166/12/2017
ActiveNYLIFE Securities, LLC645470Agent - Life12/26/2019 
ActiveNYLIFE Securities, LLC645470Agent - Health12/26/2019 
ActiveNYLIFE Securities, LLC645470Agent - Variable Life and Variable Annuities12/26/2019 
InactiveU S Bancorp Ins Services L L C400253Agent - Life1/30/20186/12/2018
InactiveU S Bancorp Ins Services L L C400253Agent - Health1/30/20186/12/2018
DeniedU S Bancorp Ins Services L L C400253Agent - Variable Life and Variable Annuities  
InactiveUS Bancorp Investments, Inc.572662Agent - Life1/30/20186/12/2018
InactiveUS Bancorp Investments, Inc.572662Agent - Health1/30/20186/12/2018
DeniedUS Bancorp Investments, Inc.572662Agent - Variable Life and Variable Annuities  

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