DEPARTMENT OF INSURANCE

Affiliations

Name	Chavez, Michael Andrew	DOIID	985549	NAIC NPN	12082048

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	2/1/2022	8/31/2027
Active	Non Resident	Agent	Health	2/1/2022	8/31/2027
* 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	1/19/2021	8/31/2021
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	1/19/2021	8/31/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	1/19/2021	8/11/2021
Inactive	American General Life Insurance Company	301585	Agent - Health	5/5/2021	8/31/2021
Inactive	American General Life Insurance Company	301585	Agent - Life	5/5/2021	8/31/2021
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	5/7/2021	8/31/2021
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	4/7/2021	8/31/2021
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	4/7/2021	8/31/2021
Inactive	C.M. Life Insurance Company	301335	Agent - Life	11/20/2020	8/31/2021
Inactive	CMFG Life Insurance Company	300929	Agent - Life	10/23/2020	7/9/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/19/2021	8/31/2021
Active	Gerber Life Insurance Company	300529	Agent - Health	3/10/2025
Active	Gerber Life Insurance Company	300529	Agent - Life	3/10/2025
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Health	5/25/2018	4/27/2021
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	5/25/2018	4/27/2021
Inactive	Lumico Life Insurance Company	300354	Agent - Life	7/13/2020	8/31/2021
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/12/2019	7/16/2020
Active	Pruco Life Insurance Company	300954	Agent - Life	4/22/2025
Active	Symetra Life Insurance Company	301691	Agent - Health	12/5/2023
Active	Symetra Life Insurance Company	301691	Agent - Life	12/5/2023
Active	Tier One Insurance Company	301056	Agent - Health	4/15/2025
Active	Tier One Insurance Company	301056	Agent - Life	4/15/2025
Active	Transamerica Life Insurance Company	300571	Agent - Health	12/22/2024
Active	Transamerica Life Insurance Company	300571	Agent - Life	12/22/2024
Inactive	United World Life Insurance Company	300532	Agent - Health	8/12/2019	7/16/2020
Active	United of Omaha Life Insurance Company	300156	Agent - Health	8/8/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Life	8/8/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Ethos Technologies Inc.	934675	Agent - Life	2/10/2026
Active	Ethos Technologies Inc.	934675	Agent - Health	2/10/2026