DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bennett, David Ross	DOIID	336211	NAIC NPN	572947

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/5/1988	12/31/2012
Inactive	Non Resident	Agent	Life	10/5/1988	12/31/2012
* 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	Lone Star Life Insurance Company	300350	Agent - Health	1/30/1990	4/7/1998
Inactive	Lone Star Life Insurance Company	300350	Agent - Life	1/30/1990	4/7/1998
Inactive	National Teachers Associates Life Insurance Company	300107	Agent - Health	5/8/1997	12/31/2012
Inactive	National Teachers Associates Life Insurance Company	300107	Agent - Life	5/8/1997	12/31/2012
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	10/5/1988	11/19/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	10/5/1988	11/19/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	National Teacher Associates Inc.	401133	Agent - Life	7/12/1993	3/31/1997
Inactive	National Teacher Associates Inc.	401133	Agent - Health	7/12/1993	3/31/1997
Inactive	National Teacher Associates of Kentucky Inc.	399320	Agent - Life	8/29/1996	12/31/2012
Inactive	National Teacher Associates of Kentucky Inc.	399320	Agent - Health	8/29/1996	12/31/2012