DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Sybil E	DOIID	748608	NAIC NPN	10583074

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	10/2/2019		9/30/2026
Active	Non Resident	Agent	Health	10/2/2019		9/30/2026
* 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	07/15/2026	09/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Life	6/11/2021	10/15/2025
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	6/11/2021	10/15/2025
Inactive	CMFG Life Insurance Company	300929	Agent - Health	10/22/2019	8/9/2022
Inactive	CMFG Life Insurance Company	300929	Agent - Life	10/22/2019	8/9/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/11/2021	10/15/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/11/2021	10/15/2025
Inactive	Independent Order of Foresters	300743	Agent - Life	6/20/2011	7/10/2013
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	3/8/2013	7/16/2013
Inactive	MEMBERS Life Insurance Company	301289	Agent - Life	9/22/2021	8/10/2022
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	11/2/2022
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	11/2/2022
Inactive	Senior Life Insurance Company	558267	Agent - Life	3/2/2011	4/29/2013
Active	Starmount Life Insurance Company	628031	Agent - Health	11/2/2022
Inactive	Trustmark Insurance Company	300317	Agent - Health	10/2/2019	7/26/2024
Inactive	Trustmark Insurance Company	300317	Agent - Life	10/2/2019	7/26/2024
Active	UNUM Life Insurance Company of America	300817	Agent - Health	11/2/2022
Active	UNUM Life Insurance Company of America	300817	Agent - Life	11/2/2022
Active	Unum Insurance Company	301499	Agent - Health	11/2/2022
Active	Unum Insurance Company	301499	Agent - Life	11/2/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hodges-Mace LLC	1059189	Agent - Life	11/22/2022	2/28/2025
Inactive	Hodges-Mace LLC	1059189	Agent - Health	11/22/2022	2/28/2025
Active	Optavise, LLC	671337	Agent - Life	11/18/2019
Active	Optavise, LLC	671337	Agent - Health	11/18/2019