DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Agis Network Inc	DOIID	664683	NAIC NPN	5927080

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	11/30/2007		3/31/2027
Denied	Non Resident	Agent	Life
* 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 General Life Insurance Company	301585	Agent - Health	8/18/2008	1/8/2018
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	8/18/2008	12/31/2012
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/17/2019	10/8/2021
Inactive	Starmount Life Insurance Company	628031	Agent - Health	10/17/2019	10/8/2021
Inactive	Trustmark Insurance Company	300317	Agent - Health	8/12/2021	1/16/2024
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/17/2019	10/8/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Henry, Joan Shirley	684713	Agent - Health	2/12/2009	5/31/2012
Denied	Porterfield, Richard Van Wey	658825	Agent - Health
Denied	Porterfield, Richard Van Wey	658825	Agent - Life
Denied	Sypniewski, Kevin W	667814	Agent - Health
Denied	Sypniewski, Kevin W	667814	Agent - Life
Active	Sypniewski, Richard A	644617	Agent - Health	11/30/2007
Inactive	Wood, Nova Christine	683899	Agent - Health	2/12/2009	4/30/2011
Denied	Wood, Nova Christine	683899	Agent - Life