DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Staubs, Cynthia Renee	DOIID	911693	NAIC NPN	11199840

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/28/2022		3/31/2025
Active	Non Resident	Agent	Life	9/28/2022		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	C.M. Life Insurance Company	301335	Agent - Life	4/6/2016	12/1/2016
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	9/12/2016	5/17/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Optavise, LLC	671337	Agent - Life
Denied	Optavise, LLC	671337	Agent - Health
Inactive	Trubridge Inc	717747	Agent - Life	4/20/2016	11/23/2016
Denied	Trubridge Inc	717747	Agent - Health