DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Carriss, Mary Beth	DOIID	843657	NAIC NPN	17300032

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Limited Line Credit	9/1/2016		5/31/2026
Denied	Resident	Agent	Health
Denied	Resident	Agent	Life
* 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	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Health and Life Insurance Company	300844	Agent - Limited Line Credit	7/26/2019	6/11/2024
Active	Lyndon Southern Insurance Company	609602	Agent - Limited Line Credit	7/2/2024
Active	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	7/2/2024
Inactive	Triton Insurance Company	300654	Agent - Limited Line Credit	7/26/2019	6/11/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Onemain Assurance Services LLC	751094	Agent - Limited Line Credit	7/26/2019	6/11/2024