black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

SAMUEL GISYER

PRODUCER NON-RESIDENT

License Number:
PRN296517
Status:
First Licensure:
10/20/2017
Cancel Date:
None

Mailing:
NEWNAN, GA 30263
Phone:
+1 (678) 447-3306
Email:
samgisyer@gmail.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/20/2017

Agency

None.

Employer

Name Issue Date License Number Expiration Date Cancel Date
CHESAPEAKE LIFE INSURANCE COMPANY
12/11/2019 LHF699 12/13/2019
LUMICO LIFE INSURANCE COMPANY
09/24/2018 LHF300009 02/10/2025
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
05/21/2025 LHF250
S.USA LIFE INSURANCE COMPANY INC
11/09/2017 LHF48161 06/24/2019
STARMOUNT LIFE INSURANCE COMPANY
05/21/2025 LHD131525
UNUM INSURANCE COMPANY
05/21/2025 LHD241
UNUM LIFE INSURANCE COMPANY OF AMERICA
05/21/2025 LHD145

Authority

Description Issue Date Termination Date Status
HEALTH 10/20/2017 Active
LIFE 10/20/2017 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
2489116

Other Addresses

Address Type
NEWNAN, GA 30263
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 11/14/2025 06:58:07 PM