DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Vern L	DOIID	930733	NAIC NPN	245915

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/30/2019	11/30/2021
Inactive	Non Resident	Agent	Life	9/30/2019	11/30/2021
* 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	Trustmark Insurance Company	300317	Agent - Health	10/5/2019	11/30/2021
Inactive	Trustmark Insurance Company	300317	Agent - Life	10/5/2019	11/30/2021

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 - Life	11/18/2019	11/30/2021
Inactive	Optavise, LLC	671337	Agent - Health	11/18/2019	11/30/2021