DEPARTMENT OF INSURANCE

Affiliations

Name	Withers, David Lee	DOIID	1050701	NAIC NPN	19250652

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/8/2019	7/31/2022
Inactive	Non Resident	Agent	Life	10/8/2019	7/31/2022
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AXIS Insurance Company	301290	Agent - Health	11/6/2019	12/10/2021
Inactive	Accendo Insurance Company	300312	Agent - Health	1/19/2022	7/31/2022
Inactive	Accendo Insurance Company	300312	Agent - Life	1/19/2022	7/31/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	1/19/2022	7/31/2022
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	11/20/2019	7/28/2020
Inactive	American General Life Insurance Company	301585	Agent - Health	1/5/2021	12/10/2021
Inactive	American General Life Insurance Company	301585	Agent - Life	1/5/2021	12/10/2021
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	11/19/2020	12/10/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/5/2021	12/10/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/5/2021	12/10/2021
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/5/2021	12/10/2021
Inactive	Aspen American Insurance Company	301513	Agent - Health	11/26/2019	12/14/2020
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/19/2022	7/31/2022
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	1/19/2022	7/31/2022
Inactive	Federal Insurance Company	301144	Agent - Health	11/7/2019	1/31/2022
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/1/2020	12/10/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/1/2020	12/10/2021
Inactive	Modern Woodmen of America	301213	Agent - Life	11/19/2019	7/15/2020
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	1/7/2021	12/10/2021
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	1/7/2021	12/10/2021
Inactive	United States Fire Insurance Company	582240	Agent - Health	10/9/2020	12/10/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Health Plan Intermediaries Holdings	786463	Agent - Health	11/12/2019	12/10/2021