DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Sybil E	DOIID	748608	NAIC NPN	10583074

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/2/2019		9/30/2026
Active	Non Resident	Agent	Health	10/2/2019		9/30/2026
* 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
Active	Accendo Insurance Company	300312	Agent - Life	6/11/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	6/11/2021
Inactive	CMFG Life Insurance Company	300929	Agent - Health	10/22/2019	8/9/2022
Inactive	CMFG Life Insurance Company	300929	Agent - Life	10/22/2019	8/9/2022
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/11/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/11/2021
Inactive	Independent Order of Foresters	300743	Agent - Life	6/20/2011	7/10/2013
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	3/8/2013	7/16/2013
Inactive	MEMBERS Life Insurance Company	301289	Agent - Life	9/22/2021	8/10/2022
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	11/2/2022
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	11/2/2022
Inactive	Senior Life Insurance Company	558267	Agent - Life	3/2/2011	4/29/2013
Active	Starmount Life Insurance Company	628031	Agent - Health	11/2/2022
Inactive	Trustmark Insurance Company	300317	Agent - Health	10/2/2019	7/26/2024
Inactive	Trustmark Insurance Company	300317	Agent - Life	10/2/2019	7/26/2024
Active	UNUM Life Insurance Company of America	300817	Agent - Health	11/2/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Life	11/2/2022
Active	Unum Insurance Company	301499	Agent - Health	11/2/2022
Active	Unum Insurance Company	301499	Agent - Life	11/2/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hodges-Mace LLC	1059189	Agent - Life	11/22/2022	2/28/2025
Inactive	Hodges-Mace LLC	1059189	Agent - Health	11/22/2022	2/28/2025
Active	Optavise, LLC	671337	Agent - Life	11/18/2019
Active	Optavise, LLC	671337	Agent - Health	11/18/2019