DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Park, John H	DOIID	1007225	NAIC NPN	10282727

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/6/2023		4/30/2025
Active	Non Resident	Agent	Health	10/6/2023		4/30/2025
* 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	Continental American Insurance Company	301700	Agent - Health	11/6/2018	8/23/2022
Inactive	Continental American Insurance Company	301700	Agent - Life	11/6/2018	8/23/2022
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	10/13/2023
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	10/13/2023
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	9/25/2020	4/30/2023
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	9/25/2020	4/30/2023
Active	Starmount Life Insurance Company	628031	Agent - Health	10/13/2023
Inactive	Trustmark Insurance Company	300317	Agent - Health	10/16/2021	4/30/2023
Inactive	Trustmark Insurance Company	300317	Agent - Life	10/16/2021	4/30/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Health	10/13/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Life	10/13/2023
Active	Unum Insurance Company	301499	Agent - Health	10/13/2023
Active	Unum Insurance Company	301499	Agent - Life	10/13/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Optavise, LLC	671337	Agent - Life	10/12/2018	4/30/2023
Inactive	Optavise, LLC	671337	Agent - Health	10/12/2018	4/30/2023