Individual Information

MICHAEL B ELLISON

SWANNANOA, NC 28778

Active

bteets@sfglife.com

06/16/2016

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	3165201	06/16/2016	Active	06/16/2016	06/30/2025

Qualification Type	Original Issue Date	Status	Effective Date
Health	06/16/2016	Active	06/16/2016
Life	06/16/2016	Active	06/16/2016

Company Name	Appointment Type	Status	Active Date
160
AMERICO FINANCIAL LIFE AND ANNUITY INSURANCE COMPANY	Health	Active	12/06/2018
	Life	Active	12/06/2018
283
Company Name	Appointment Type	Status	Active Date
BANNER LIFE INSURANCE COMPANY	Life	Active	11/22/2022
239
Company Name	Appointment Type	Status	Active Date
FIDELITY & GUARANTY LIFE INSURANCE COMPANY	Life	Active	04/05/2022
389
Company Name	Appointment Type	Status	Active Date
JOHN HANCOCK LIFE INSURANCE COMPANY (USA)	Health	Active	05/13/2021
	Life	Active	05/13/2021
1453
Company Name	Appointment Type	Status	Active Date
NATIONWIDE LIFE AND ANNUITY INSURANCE COMPANY	Health	Active	01/24/2024
	Life	Active	01/24/2024
1208
Company Name	Appointment Type	Status	Active Date
PAN-AMERICAN LIFE INSURANCE COMPANY	Life	Active	03/29/2024
102386
Company Name	Appointment Type	Status	Active Date
SAVINGS BANK MUTUAL LIFE INSURANCE COMPANY OF MASSACHUSETTS, THE	Life	Active	08/12/2021
589
Company Name	Appointment Type	Status	Active Date
SECURITY BENEFIT LIFE INSURANCE COMPANY	Life	Active	03/04/2024

row(s) 1 - 11 of 11

Organization	Association Type	Type	Beg dte	End dte
SYMMETRY FINANCIAL GROUP LLC	Designated Resp Lic Prdcr	Agency	12/06/2020	-
Quility Affinity Insurance Services LLC	Designated Resp Lic Prdcr	Agency	10/09/2020	-
QUILITY INSURANCE HOLDINGS LLC	Designated Resp Lic Prdcr	Agency	01/08/2021	-

1 - 3