DEPARTMENT OF INSURANCE

Affiliations

Name	Doherty, Donald A	DOIID	334919	NAIC NPN	927321

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/23/2021		5/31/2026
Inactive	Non Resident	Agent	Health	11/9/1993	5/31/2012
* 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	CompBenefits Dental, Inc.	591692	Agent - Health	4/11/2012	5/31/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/11/2012	5/31/2012
Inactive	EMC National Life Company	300388	Agent - Health	8/25/2003	5/21/2004
Inactive	EMC National Life Company	300388	Agent - Life	8/25/2003	5/21/2004
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/11/2012	5/31/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/11/2012	5/31/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/11/2012	5/31/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2012	5/31/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2012	5/31/2012
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	5/27/1999	5/30/2000
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	5/27/1999	5/30/2000
Inactive	Lumico Life Insurance Company	300354	Agent - Life	12/6/2022	1/19/2024
Inactive	National Travelers Life Company	300304	Agent - Health	6/14/1996	6/30/2003
Inactive	National Travelers Life Company	300304	Agent - Life	6/14/1996	6/30/2003
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	2/22/2012	5/31/2012
Active	Northwestern Mutual Life Insurance Company	300931	Agent - Life	12/1/2021
Inactive	Protective Life Insurance Company	300638	Agent - Health	11/9/1993	7/5/2007
Inactive	Protective Life Insurance Company	300638	Agent - Life	11/9/1993	7/5/2007
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	6/6/2001	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	6/6/2001	12/30/2009
Inactive	Union Security Insurance Company	301844	Agent - Health	2/7/2002	5/31/2012
Inactive	Union Security Insurance Company	301844	Agent - Life	2/7/2002	5/31/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Greater Kansas Inc -000	539585	Agent - Life	10/31/2005	5/31/2012
Inactive	Willis Of Greater Kansas Inc -000	539585	Agent - Health	10/31/2005	5/31/2012