DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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
Pending Replacement	Non Resident	Agent	Life	10/6/2023		4/30/2025
Pending Replacement	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2025	04/30/2025

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
Pending Replacement	Provident Life and Accident Insurance Company	301525	Agent - Health	10/13/2023
Pending Replacement	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
Pending Replacement	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
Pending Replacement	UNUM Life Insurance Company of America	300817	Agent - Health	10/13/2023
Pending Replacement	UNUM Life Insurance Company of America	300817	Agent - Life	10/13/2023
Pending Replacement	Unum Insurance Company	301499	Agent - Health	10/13/2023
Pending Replacement	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