DEPARTMENT OF INSURANCE

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		3/31/2025
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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

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