DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dorsey, Philip V	DOIID	305106	NAIC NPN	1347994

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/5/1996	11/30/2003
Inactive	Non Resident	Agent	General Lines	12/5/1996	6/1/1999
Inactive	Non Resident	Agent	Health	12/5/1996	11/30/2003
* 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	Employers Insurance Company of Wausau	301813	Agent - General Lines	12/5/1996	6/1/1999
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Health	5/7/1999	11/30/2003
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Life	5/7/1999	11/30/2003
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	12/5/1996	6/1/1999
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	12/5/1996	6/1/1999
Inactive	Wausau Business Insurance Company	301476	Agent - General Lines	12/30/1996	6/1/1999
Inactive	Wausau Underwriters Insurance Company	301105	Agent - General Lines	12/30/1996	6/1/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Companies Agency of Kentucky Inc.	400449	Agent - Life	3/6/1997	2/26/2003
Inactive	Companies Agency of Kentucky Inc.	400449	Agent - Health	3/6/1997	2/26/2003