black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

VERN L. WILLIAMS

PRODUCER NON-RESIDENT

License Number:
PRN339990
Status:
First Licensure:
10/01/2019
Cancel Date:
None

Mailing:
DOUGLASVILLE, GA 30134
Phone:
+1 (770) 401-6269
Fax:
+1 (678) 254-0858
Email:
vwilliams7074@yahoo.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 10/01/2019

Agency

Name Issue Date License Number Expiration Date Cancel Date
OPTAVISE LLC
11/04/2019 AGN167845

Employer

Name Issue Date License Number Expiration Date Cancel Date
PROVIDENT LIFE & ACCIDENT INSURANCE COMPANY
10/28/2022 LHF250
STARMOUNT LIFE INSURANCE COMPANY
10/28/2022 LHD131525
TRUSTMARK INSURANCE COMPANY
10/05/2019 LHF132 05/12/2022
UNUM INSURANCE COMPANY
10/28/2022 LHD241
UNUM LIFE INSURANCE COMPANY OF AMERICA
10/28/2022 LHD145

Authority

Description Issue Date Termination Date Status
HEALTH 10/01/2019 Active
LIFE 10/01/2019 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
245915

Other Addresses

Address Type
DOUGLASVILLE, GA 30134
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: 05/13/2025 10:51:38 PM