DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Driscoll, Michael	DOIID	986298	NAIC NPN	18051568

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/2/2018		12/31/2024
Active	Non Resident	Agent	Life	3/2/2018		12/31/2024
Active	Non Resident	Agent	Casualty	5/15/2019		12/31/2024
Active	Non Resident	Agent	Property	5/15/2019		12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Fidelity Investments Life Insurance Company	300620	Agent - Life	3/7/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Fidelity Health Insurance Services LLC	887889	Agent - Health
Denied	Fidelity Health Insurance Services LLC	887889	Agent - Life
Denied	Fidelity Health Insurance Services LLC	887889	Agent - Casualty
Denied	Fidelity Health Insurance Services LLC	887889	Agent - Property