DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sirls, Donna M	DOIID	948118	NAIC NPN	17613040

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	3/16/2020	4/30/2022
Inactive	Non Resident	Agent	Life	3/16/2020	4/30/2022
Inactive	Non Resident	Independent Adjuster	Property & Casualty	8/12/2021	11/5/2023
Active	Non Resident	Staff Adjuster	Property & Casualty	11/13/2023		4/30/2026
* 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
Staff Adjuster	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	9/10/2021	4/27/2022
Inactive	Accendo Insurance Company	300312	Agent - Life	3/10/2021	4/27/2022
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	3/8/2021	4/30/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	3/10/2021	4/27/2022
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/8/2021	4/30/2022
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/8/2021	4/30/2022
Inactive	American Continental Insurance Company	643130	Agent - Life	3/10/2021	8/11/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/24/2020	5/28/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/8/2020	5/28/2021
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	3/10/2021	4/27/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	3/10/2021	4/27/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/18/2020	1/20/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/18/2020	1/20/2022
Inactive	National Health Insurance Company	300554	Agent - Health	7/29/2020	4/30/2022
Inactive	National Health Insurance Company	300554	Agent - Life	7/29/2020	4/30/2022
Inactive	SilverScript Insurance Company	663526	Agent - Health	3/8/2021	4/30/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	5/8/2020	5/28/2021
Inactive	Designated Agent Company Inc.	681257	Agent - Health	3/24/2020	5/28/2021
Inactive	Velapoint LLC	721963	Agent - Life	5/8/2020	8/24/2021
Inactive	Velapoint LLC	721963	Agent - Health	3/24/2020	8/24/2021