DEPARTMENT OF INSURANCE
Affiliations
NameCornelious, Pamela RetriceDOIID970308NAIC NPN9194853
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth9/29/201712/31/2019 
InactiveNon ResidentAgentLife9/29/201712/31/2019 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBankers Fidelity Life Insurance Company300193Agent - Health10/4/201812/31/2019
InactiveBankers Fidelity Life Insurance Company300193Agent - Life10/4/201812/31/2019
InactiveContinental American Insurance Company301700Agent - Health5/20/201912/31/2019
InactiveContinental American Insurance Company301700Agent - Life5/20/201912/31/2019
InactiveProvident Life and Accident Insurance Company301525Agent - Health11/3/201712/31/2019
InactiveProvident Life and Accident Insurance Company301525Agent - Life11/3/201712/31/2019
InactiveStarmount Life Insurance Company628031Agent - Health11/30/201812/31/2019
InactiveUNUM Life Insurance Company of America300817Agent - Health11/3/201712/31/2019
InactiveUNUM Life Insurance Company of America300817Agent - Life11/3/201712/31/2019
InactiveUnum Insurance Company301499Agent - Health11/30/201812/31/2019
InactiveUnum Insurance Company301499Agent - Life11/30/201812/31/2019
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveOptavise, LLC671337Agent - Life10/12/201812/31/2019
InactiveOptavise, LLC671337Agent - Health10/12/201812/31/2019

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