DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Francis, Michael A	DOIID	973712	NAIC NPN	16461471

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	9/29/2020	4/30/2022
Inactive	Non Resident	Agent	Life	9/29/2020	4/30/2022
* 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	American Heritage Life Insurance Company	300272	Agent - Health	11/5/2018	4/30/2020
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	11/5/2018	4/30/2020
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	4/14/2018	4/30/2020
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	4/14/2018	4/30/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/5/2018	4/30/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/5/2018	4/30/2020
Inactive	Trustmark Insurance Company	300317	Agent - Health	10/18/2020	4/30/2022
Inactive	Trustmark Insurance Company	300317	Agent - Life	10/18/2020	4/30/2022
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/5/2018	4/30/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/5/2018	4/30/2020

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	10/18/2020	4/30/2022
Inactive	Optavise, LLC	671337	Agent - Health	10/18/2020	4/30/2022