DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Edwards, Larry	DOIID	973301	NAIC NPN	17607435

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	9/23/2021		12/31/2024
Active	Non Resident	Agent	Health	9/23/2021		12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	7/9/2020	8/4/2020
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	2/8/2024
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	9/16/2024
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	9/16/2024
Active	Starmount Life Insurance Company	628031	Agent - Health	9/16/2024
Active	Trustmark Insurance Company	300317	Agent - Health	9/3/2023
Active	Trustmark Insurance Company	300317	Agent - Life	9/3/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Health	9/16/2024
Active	UNUM Life Insurance Company of America	300817	Agent - Life	9/16/2024
Active	Unum Insurance Company	301499	Agent - Health	9/16/2024
Active	Unum Insurance Company	301499	Agent - Life	9/16/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Optavise, LLC	671337	Agent - Life	11/16/2022
Active	Optavise, LLC	671337	Agent - Health	11/16/2022