DEPARTMENT OF INSURANCE

Affiliations

Name	Mickelson, Scott D	DOIID	933595	NAIC NPN	13360867

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/17/2016	6/30/2019
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	10/17/2016	6/30/2019
Inactive	Non Resident	Agent	Life	10/17/2016	6/30/2019
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	10/25/2016	6/30/2019
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	10/25/2016	6/30/2019
Inactive	Brighthouse Life Insurance Company	301829	Agent - Variable Life and Variable Annuities	10/25/2016	6/30/2019
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Life	10/21/2016	6/30/2019
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	10/17/2016	12/14/2018
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	10/17/2016	12/14/2018
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	10/17/2016	12/14/2018
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	3/16/2018	6/30/2019
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	3/16/2018	6/30/2019
Inactive	Minnesota Life Insurance Company	300488	Agent - Variable Life and Variable Annuities	3/16/2018	6/30/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/21/2016	6/30/2019
Inactive	Transamerica Life Insurance Company	300571	Agent - Variable Life and Variable Annuities	10/21/2016	6/30/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	U S Bancorp Ins Services L L C	400253	Agent - Health	10/25/2016	6/30/2019
Inactive	U S Bancorp Ins Services L L C	400253	Agent - Life	10/21/2016	6/30/2019
Inactive	U S Bancorp Ins Services L L C	400253	Agent - Variable Life and Variable Annuities	10/25/2016	6/30/2019
Inactive	US Bancorp Investments, Inc.	572662	Agent - Health	10/25/2016	6/30/2019
Inactive	US Bancorp Investments, Inc.	572662	Agent - Life	10/21/2016	6/30/2019
Inactive	US Bancorp Investments, Inc.	572662	Agent - Variable Life and Variable Annuities	10/25/2016	6/30/2019