DEPARTMENT OF INSURANCE
Affiliations
NameRozycki, Michelle DOIID999208NAIC NPN18815181
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife6/27/20183/31/2021 
InactiveNon ResidentAgentVariable Life and Variable Annuities6/27/20183/31/2021 
InactiveNon ResidentAgentHealth6/27/20183/31/2021 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Life10/22/20183/27/2019
InactiveAllianz Life Insurance Company of North America301791Agent - Variable Life and Variable Annuities10/22/20183/27/2019
InactiveLincoln National Life Insurance Company (The)301382Agent - Health10/31/20184/22/2019
InactiveLincoln National Life Insurance Company (The)301382Agent - Life10/31/20184/22/2019
InactiveLincoln National Life Insurance Company (The)301382Agent - Variable Life and Variable Annuities10/31/20184/22/2019
InactivePacific Life Insurance Company301848Agent - Health8/16/20186/17/2019
InactivePacific Life Insurance Company301848Agent - Life8/16/20186/17/2019
InactivePacific Life Insurance Company301848Agent - Variable Life and Variable Annuities8/16/20186/17/2019
InactiveWestern-Southern Life Assurance Company301590Agent - Health9/4/20183/20/2019
InactiveWestern-Southern Life Assurance Company301590Agent - Life9/4/20183/20/2019
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFifth Third Insurance Agency Inc399341Agent - Health10/19/20186/17/2019
InactiveFifth Third Insurance Agency Inc399341Agent - Life10/19/20186/17/2019
InactiveFifth Third Insurance Agency Inc399341Agent - Variable Life and Variable Annuities10/19/20186/17/2019

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