DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, Juanita June	DOIID	330840	NAIC NPN	829804

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	3/4/1994		9/30/2024
Active	Resident	Agent	Life	6/12/2001		9/30/2024
Inactive	Resident	Agent	Health Maintenance Organization	12/29/1993	3/1/2001
* 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
Agent	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	8/13/2001	8/22/2011
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	8/13/2001	8/22/2011
Active	Arcadian Health Plan, Inc.	728196	Agent - Health	10/12/2017
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	12/26/2001	1/26/2005
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	12/26/2001	1/26/2005
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	10/19/2015	3/31/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/6/2009	6/15/2018
Inactive	CompBenefits Insurance Company	301864	Agent - Health	11/6/2009	12/13/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	11/6/2009	12/13/2011
Inactive	Conseco Health Insurance Company	301725	Agent - Health	11/26/2001	10/14/2003
Inactive	Conseco Health Insurance Company	301725	Agent - Life	11/26/2001	10/14/2003
Inactive	Continental Casualty Company	301019	Agent - Health	7/13/2001	11/29/2004
Inactive	Continental General Insurance Company	300691	Agent - Health	9/13/2001	3/4/2002
Active	Dental Concern Inc. (The)	301641	Agent - Health	1/5/2017
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Life	4/22/2002	1/1/2004
Inactive	Essence Healthcare, Inc.	657425	Agent - Health	11/20/2009	3/31/2011
Inactive	Genworth Life Insurance Company	300623	Agent - Health	6/3/2002	9/19/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Life	9/18/2009	12/7/2012
Active	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014
Active	Humana Health Plan of Ohio Inc.	301565	Agent - Health	9/26/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/19/2008	6/15/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	12/29/1993	3/1/2001
Inactive	Humana Insurance Company	300118	Agent - Health	3/4/1994	1/3/2002
Active	Humana Insurance Company	301104	Agent - Health	4/17/2004
Active	Humana Insurance Company	301104	Agent - Life	4/17/2004
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	4/17/2004
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	4/17/2004
Active	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014
Active	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/12/2016
Inactive	HumanaDental Insurance Company	301457	Agent - Health	3/26/2012	5/13/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Life	3/26/2012	5/13/2013
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	1/10/2002	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	1/10/2002	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/4/2013	1/21/2017
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/4/2013	1/21/2017
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Health	1/10/2002	12/11/2006
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	1/10/2002	12/11/2006
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/6/2009	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/6/2009	10/22/2015
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	10/1/2001	12/17/2004
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	10/1/2001	12/17/2004
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Health	6/7/2002	6/2/2005
Inactive	Nassau Life Insurance Company of Texas	300872	Agent - Life	6/7/2002	6/2/2005
Inactive	Protected Home Mutual Life Insurance Company	301399	Agent - Health	11/5/2001	4/28/2003
Inactive	Protected Home Mutual Life Insurance Company	301399	Agent - Life	11/5/2001	4/28/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	1/3/2003	9/3/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	4/24/2002	11/2/2007
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	4/29/2002	11/2/2007
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	4/24/2002	10/1/2003
Inactive	Southland Life Insurance Company	301175	Agent - Life	4/24/2002	9/16/2004
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	10/15/2001	6/6/2007
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	10/15/2001	6/6/2007
Inactive	USG Annuity & Life Company	300457	Agent - Life	4/22/2002	1/1/2004
Inactive	Venerable Insurance and Annuity Company	301006	Agent - Life	1/1/2004	11/2/2007
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	11/14/2001	11/1/2012
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	11/14/2001	11/1/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	HealthPoint Insurance and Investment Services, LLC	584134	Agent - Health	2/18/2004
Active	HealthPoint Insurance and Investment Services, LLC	584134	Agent - Life	2/18/2004
Inactive	Humana MarketPOINT Inc.	398092	Agent - Health	8/27/2001	2/4/2004
Inactive	Humana MarketPOINT Inc.	398092	Agent - Life	8/27/2001	2/4/2004
Active	Planchoice Inc.	400482	Agent - Health	3/5/2003
Active	Planchoice Inc.	400482	Agent - Life	3/5/2003