DEPARTMENT OF INSURANCE

Affiliations

Name	Micketti, Mario	DOIID	1057055	NAIC NPN	19209990

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	9/20/2019	8/31/2025
Active	Non Resident	Agent	Life	9/20/2019	8/31/2025
* 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	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Health	12/1/2022	6/19/2025
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	6/10/2020	5/14/2025
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	10/4/2019	5/14/2025
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	9/23/2021
Inactive	Capitol Life Insurance Company	301514	Agent - Health	8/1/2020	6/21/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	3/10/2020	2/3/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	10/4/2019	5/14/2025
Inactive	Elips Life Insurance Company	301087	Agent - Health	4/21/2022	3/3/2023
Active	HealthSpring National Health Insurance Company	300235	Agent - Health	10/12/2024
Inactive	Lumico Life Insurance Company	300354	Agent - Health	10/10/2019	1/13/2023
Active	ManhattanLife Insurance and Annuity Company	301795	Agent - Health	7/30/2021
Active	National Health Insurance Company	300554	Agent - Health	6/28/2023
Active	National Health Insurance Company	300554	Agent - Life	6/28/2023
Inactive	Puritan Life Insurance Company of America	301892	Agent - Health	11/22/2019	8/8/2022
Inactive	Southern Guaranty Insurance Company	969411	Agent - Health	10/4/2019	5/8/2023
Active	Tier One Insurance Company	301056	Agent - Health	10/24/2022
Active	Tier One Insurance Company	301056	Agent - Life	11/7/2023
Active	Union Security Insurance Company	301844	Agent - Health	10/13/2022
Inactive	United World Life Insurance Company	300532	Agent - Health	11/23/2021	10/24/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	2/10/2020	6/8/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Spring Ins Solutions LLC	788951	Agent - Life
Active	Spring Ins Solutions LLC	788951	Agent - Health	11/20/2019