DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lau, Maria Sylvia	DOIID	933468	NAIC NPN	14223351

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/26/2023		1/31/2025
Active	Non Resident	Agent	Life	9/26/2023		1/31/2025
* 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	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	10/13/2023
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	10/13/2023
Active	Starmount Life Insurance Company	628031	Agent - Health	10/13/2023
Inactive	Trustmark Insurance Company	300317	Agent - Health	10/26/2022	1/31/2023
Inactive	Trustmark Insurance Company	300317	Agent - Life	10/26/2022	1/31/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Health	10/13/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Life	10/13/2023
Active	Unum Insurance Company	301499	Agent - Health	10/13/2023
Active	Unum Insurance Company	301499	Agent - Life	10/13/2023

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	10/16/2019	1/31/2023
Inactive	Optavise, LLC	671337	Agent - Health	10/16/2019	1/31/2023