DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sennett, Michael A	DOIID	567914	NAIC NPN	1642566

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Life	4/23/2003		3/31/2025
Pending Replacement	Non Resident	Agent	Health	4/23/2003		3/31/2025
* 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	American Fidelity Assurance Company	301004	Agent - Health	4/23/2003	12/29/2006
Inactive	American Fidelity Assurance Company	301004	Agent - Life	4/23/2003	12/29/2006
Inactive	Continental American Insurance Company	301700	Agent - Health	9/4/2014	4/10/2024
Inactive	Continental American Insurance Company	301700	Agent - Life	9/4/2014	4/10/2024
Pending Replacement	Provident Life and Accident Insurance Company	301525	Agent - Health	7/29/2022
Pending Replacement	Provident Life and Accident Insurance Company	301525	Agent - Life	7/29/2022
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/25/2013	9/1/2022
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/25/2013	9/1/2022
Pending Replacement	Starmount Life Insurance Company	628031	Agent - Health	7/29/2022
Pending Replacement	Trustmark Insurance Company	300317	Agent - Health	12/25/2005
Pending Replacement	Trustmark Insurance Company	300317	Agent - Life	12/25/2005
Pending Replacement	UNUM Life Insurance Company of America	300817	Agent - Health	7/29/2022
Pending Replacement	UNUM Life Insurance Company of America	300817	Agent - Life	7/29/2022
Pending Replacement	Unum Insurance Company	301499	Agent - Health	7/29/2022
Pending Replacement	Unum Insurance Company	301499	Agent - Life	7/29/2022

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 - Health	10/12/2018	4/20/2020
Inactive	Optavise, LLC	671337	Agent - Life	10/12/2018	4/20/2020
Inactive	Willis Of Illinois Inc	398318	Agent - Health	4/5/2012	1/7/2020
Inactive	Willis Of Illinois Inc	398318	Agent - Life	4/5/2012	1/7/2020