DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cousins, Diane Gladys	DOIID	1233712	NAIC NPN	19024438

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/29/2022	4/12/2023
Inactive	Non Resident	Agent	Life	9/29/2022	4/12/2023
* 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	Trustmark Insurance Company	300317	Agent - Health	10/7/2022	4/12/2023
Inactive	Trustmark Insurance Company	300317	Agent - Life	10/7/2022	4/12/2023

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	11/16/2022	4/12/2023
Inactive	Optavise, LLC	671337	Agent - Health	11/16/2022	4/12/2023