DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, Dan A	DOIID	343942	NAIC NPN	1449647

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	5/4/1995	10/21/2005
Active	Non Resident	Agent	Property	2/16/2018		11/30/2025
Active	Non Resident	Agent	Casualty	2/16/2018		11/30/2025
Active	Non Resident	Agent	Life	5/3/1995		11/30/2025
Active	Non Resident	Agent	Health	5/3/1995		11/30/2025
* 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	09/15/2025	11/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	4 Ever Life Insurance Company	301307	Agent - Health	3/28/2005	12/14/2010
Inactive	4 Ever Life Insurance Company	301307	Agent - Life	3/28/2005	12/14/2010
Inactive	ACE American Insurance Company	300625	Agent - Health	8/27/2001	11/4/2002
Inactive	All Savers Insurance Company	301940	Agent - Health	1/20/2017	12/3/2020
Inactive	All Savers Insurance Company	301940	Agent - Life	1/20/2017	12/3/2020
Active	Allianz Life Insurance Company of North America	301791	Agent - Health	6/7/2004
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	6/7/2004
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/9/2011	9/24/2013
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/9/2011	9/24/2013
Inactive	American Fidelity Assurance Company	301004	Agent - Health	9/20/2002	12/15/2003
Inactive	American Fidelity Assurance Company	301004	Agent - Life	9/20/2002	12/15/2003
Inactive	American General Life Insurance Company	301585	Agent - Health	4/23/2012	1/8/2018
Inactive	American General Life Insurance Company	301585	Agent - Life	4/23/2012	1/8/2018
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	11/9/2004	12/31/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	11/9/2004	12/31/2012
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	11/20/2015	4/8/2019
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	11/20/2015	4/8/2019
Inactive	American National Insurance Company	301861	Agent - Health	2/15/2001	11/4/2022
Inactive	American National Insurance Company	301861	Agent - Life	2/15/2001	5/27/2021
Active	American National Life Insurance Company of Texas	300912	Agent - Health	7/27/2011
Active	American National Life Insurance Company of Texas	300912	Agent - Life	7/27/2011
Active	American United Life Insurance Company	300498	Agent - Health	6/16/2020
Active	American United Life Insurance Company	300498	Agent - Life	6/16/2020
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/9/2013	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/9/2013	4/15/2025
Inactive	Avemco Insurance Company	300669	Agent - Health	7/30/2001	10/28/2004
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	7/15/1999	12/31/2001
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	7/15/1999	12/31/2001
Inactive	Banner Life Insurance Company	301696	Agent - Life	5/8/2016	10/2/2018
Inactive	Canada Life Assurance Company	301192	Agent - Health	6/8/2001	12/14/2004
Inactive	Canada Life Assurance Company	301192	Agent - Life	6/8/2001	12/14/2004
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/16/2010	12/5/2014
Inactive	CompBenefits Insurance Company	301864	Agent - Health	1/13/2012	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	1/13/2012	7/2/2013
Active	Companion Life Insurance Company	300191	Agent - Health	10/17/2013
Active	Companion Life Insurance Company	300191	Agent - Life	10/17/2013
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	5/25/2005	8/27/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	12/9/2016	7/12/2018
Inactive	Elips Life Insurance Company	301087	Agent - Health	6/25/2007	1/16/2009
Inactive	Elips Life Insurance Company	301087	Agent - Life	6/25/2007	1/16/2009
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	7/11/2011
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	7/11/2011
Active	Gerber Life Insurance Company	300529	Agent - Health	10/16/2024
Active	Gerber Life Insurance Company	300529	Agent - Life	10/16/2024
Active	HCC Life Insurance Company	301827	Agent - Health	2/22/2005
Active	HCC Life Insurance Company	301827	Agent - Life	2/22/2005
Inactive	HM Life Insurance Company	301408	Agent - Health	10/28/1997	10/8/2008
Inactive	HM Life Insurance Company	301408	Agent - Life	10/28/1997	10/8/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	10/11/2004	12/30/2020
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	10/11/2004	12/30/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/14/2015	12/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/22/2007	7/12/2018
Inactive	Humana Insurance Company	301104	Agent - Health	12/9/2016	7/12/2018
Inactive	Humana Insurance Company	301104	Agent - Life	12/9/2016	7/12/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/14/2015	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/14/2016	7/12/2018
Inactive	HumanaDental Insurance Company	301457	Agent - Health	2/16/2010	2/22/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	2/16/2010	2/22/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	5/1/2008	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	5/1/2008	4/25/2013
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	3/11/1999	4/7/2004
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	3/11/1999	4/7/2004
Inactive	Life Insurance Company of Georgia	300267	Agent - Health	3/20/1997	5/4/2000
Inactive	Life Insurance Company of Georgia	300267	Agent - Life	3/20/1997	5/4/2000
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	11/7/2003	6/25/2008
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	11/7/2003	6/25/2008
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Health	3/24/2000	4/23/2001
Inactive	MEGA Life and Health Insurance Company (The)	300751	Agent - Life	3/24/2000	4/23/2001
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	10/29/2004	11/17/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	10/29/2004	11/17/2008
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/19/2002	9/23/2003
Inactive	NHP of Indiana LLC	651048	Agent - Health	9/26/2007	3/31/2013
Inactive	Nassau Life Insurance Company	301406	Agent - Life	8/1/2002	12/14/2004
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	3/5/2013
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	1/5/2022	4/3/2024
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	1/5/2022	4/3/2024
Inactive	PHL Variable Insurance Company	300525	Agent - Life	8/1/2002	12/14/2004
Active	Pan-American Life Insurance Company	301530	Agent - Health	12/2/2009
Active	Pan-American Life Insurance Company	301530	Agent - Life	12/2/2009
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	2/8/2002	7/23/2002
Active	Principal Life Insurance Company	300129	Agent - Health	1/23/1998
Active	Principal Life Insurance Company	300129	Agent - Life	1/23/1998
Inactive	Protective Life Insurance Company	300638	Agent - Health	6/12/2000	12/15/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	6/12/2000	12/15/2003
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	8/22/2011
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	8/22/2011
Active	QBE Insurance Corporation	300515	Agent - Health	5/10/2023
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	10/1/2004	2/14/2005
Active	SiriusPoint America Insurance Company	301148	Agent - Casualty	5/9/2019
Active	SiriusPoint America Insurance Company	301148	Agent - Health	1/19/2018
Inactive	Southland Life Insurance Company	301175	Agent - Life	2/26/1998	10/1/2004
Active	Standard Insurance Company	300185	Agent - Health	9/27/2004
Active	Standard Insurance Company	300185	Agent - Life	9/27/2004
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	10/20/2003	12/26/2018
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	10/20/2003	12/26/2018
Active	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Health	5/11/2021
Inactive	Symetra Life Insurance Company	301691	Agent - Health	12/31/2000	12/16/2005
Inactive	Symetra Life Insurance Company	301691	Agent - Life	12/31/1999	12/16/2005
Inactive	Time Insurance Company	300683	Agent - Health	3/30/2001	2/21/2003
Inactive	Time Insurance Company	300683	Agent - Life	3/30/2001	2/21/2003
Inactive	Transamerica Assurance Company	300893	Agent - Health	2/3/2000	8/18/2003
Inactive	Transamerica Assurance Company	300893	Agent - Life	2/3/2000	8/7/2003
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	7/15/1999	8/7/2003
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/15/1999	8/7/2003
Inactive	Trustmark Insurance Company	300317	Agent - Health	9/5/2008	7/20/2018
Inactive	Trustmark Insurance Company	300317	Agent - Life	9/5/2008	7/20/2018
Active	UNUM Life Insurance Company of America	300817	Agent - Health	8/22/2011
Active	UNUM Life Insurance Company of America	300817	Agent - Life	8/22/2011
Inactive	Union Security Insurance Company	301844	Agent - Health	2/7/2002	11/21/2003
Inactive	Union Security Insurance Company	301844	Agent - Life	2/7/2002	11/21/2003
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	5/14/2012	1/8/2018
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	5/14/2012	1/8/2018
Active	United of Omaha Life Insurance Company	300156	Agent - Health	1/13/2014
Active	United of Omaha Life Insurance Company	300156	Agent - Life	1/13/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/23/2017	1/30/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/23/2017	1/30/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/23/2017	1/30/2020
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/23/2017	4/30/2018
Inactive	Westport Insurance Corporation	301875	Agent - Health	3/7/2016	4/20/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Western Kentucky Inc.	401302	Administrator - Not Applicable	5/4/1995	5/1/1996
Inactive	Assuredpartners NL, LLC	762387	Agent - Life	2/27/2013	11/14/2018
Inactive	Assuredpartners NL, LLC	762387	Agent - Health	2/27/2013	11/14/2018
Inactive	Benefit Resource Administrators Inc	545651	Administrator - Not Applicable	8/29/2002	10/21/2005
Inactive	Benefit Resource Inc.	400180	Agent - Life	8/27/1999	3/31/2021
Inactive	Benefit Resource Inc.	400180	Agent - Health	8/27/1999	3/31/2021
Inactive	Benefit Resource Inc.	400180	Administrator - Not Applicable	2/25/2000	10/21/2005
Inactive	Brown & Brown Of Kentucky Inc	580592	Agent - Life	11/14/2003	2/12/2014
Inactive	Brown & Brown Of Kentucky Inc	580592	Agent - Health	11/14/2003	2/12/2014
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	2/20/2002	7/21/2014
Active	Designated Agent Company Inc.	681257	Agent - Life	11/9/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	11/9/2013
Active	Fifth Third Insurance Agency Inc	399341	Agent - Life	11/12/2018
Active	Fifth Third Insurance Agency Inc	399341	Agent - Health	11/12/2018
Denied	Fifth Third Insurance Agency Inc	399341	Agent - Property
Denied	Fifth Third Insurance Agency Inc	399341	Agent - Casualty
Active	Houchens Insurance Group, Inc.	637099	Agent - Life	7/31/2023
Active	Houchens Insurance Group, Inc.	637099	Agent - Health	7/31/2023
Denied	Houchens Insurance Group, Inc.	637099	Agent - Property
Active	Houchens Insurance Group, Inc.	637099	Agent - Casualty	7/31/2023
Active	Planchoice Inc.	400482	Agent - Life	2/24/2015
Active	Planchoice Inc.	400482	Agent - Health	2/24/2015
Inactive	Strategic Benefits Inc	400200	Agent - Life	9/10/1999	5/8/2002
Inactive	Strategic Benefits Inc	400200	Agent - Health	9/10/1999	5/8/2002