DEPARTMENT OF INSURANCE

Affiliations

Name	Berman, David Allan	DOIID	341776	NAIC NPN	1032179

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	10/13/1988	4/30/2018
Inactive	Non Resident	Agent	Casualty	10/22/2008	4/30/2018
Inactive	Non Resident	Agent	Property	10/22/2008	4/30/2018
Inactive	Non Resident	Agent	Health Maintenance Organization	12/20/1996	3/1/2001
Inactive	Non Resident	Agent	Life	10/13/1988	4/30/2018
* 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	Athene Annuity & Life Assurance Company	301798	Agent - Health	2/17/2000	6/13/2011
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	2/17/2000	6/13/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/26/2007	12/3/2012
Inactive	First Colony Life Insurance Company	301179	Agent - Life	2/5/1992	7/14/2004
Inactive	General American Life Insurance Company	300280	Agent - Health	6/14/2005	11/14/2009
Inactive	General American Life Insurance Company	300280	Agent - Life	6/14/2005	11/14/2009
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	1/7/2013	4/30/2018
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	1/7/2013	4/30/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	12/3/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	12/20/1996	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	2/21/1996	12/3/2012
Inactive	Humana Insurance Company	301104	Agent - Life	2/21/1996	12/3/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/9/2008	12/3/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/9/2008	12/3/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	1/9/2008	12/3/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	1/9/2008	12/3/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/10/2008	12/3/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/10/2008	12/3/2012
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	6/14/2005	11/14/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	6/14/2005	11/14/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	9/25/2008	12/14/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	9/25/2008	12/14/2012
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	6/15/2004	4/30/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	6/15/2004	4/30/2018
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	7/1/2009	4/30/2018
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	7/1/2009	4/30/2018
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	10/13/1988	12/30/1998
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	10/13/1988	12/30/1998
Inactive	Standard Insurance Company	300185	Agent - Health	7/10/1996	4/30/2018
Inactive	Standard Insurance Company	300185	Agent - Life	7/10/1996	4/30/2018
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	6/15/2004	4/30/2018
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	6/15/2004	4/30/2018
Inactive	West Coast Life Insurance Company	301607	Agent - Life	12/23/2004	11/23/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Assuredpartners NL, LLC	762387	Agent - Life	9/21/2011	4/30/2018
Inactive	Assuredpartners NL, LLC	762387	Agent - Health	9/21/2011	4/30/2018
Denied	Assuredpartners NL, LLC	762387	Agent - Casualty
Denied	Assuredpartners NL, LLC	762387	Agent - Property
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	8/3/2007	7/21/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/11/2013	4/30/2018
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/11/2013	4/30/2018
Inactive	Neace Lukens, Inc.	398909	Agent - Life	1/7/2004	3/31/2014
Inactive	Neace Lukens, Inc.	398909	Agent - Health	1/7/2004	3/31/2014