DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, Tena Henson	DOIID	348453	NAIC NPN	7190718

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	9/18/1996	8/5/2013
Inactive	Resident	Agent	Health	7/18/1996	8/5/2013
Inactive	Resident	Agent	Life	7/18/1996	8/5/2013
Inactive	Resident	Agent	General Lines	11/14/1997	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	8/5/2013
Inactive	Resident	Temporary Agent	Ordinary Life (Temporary Life)	6/3/1996	7/18/1996
* 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	Allstate Indemnity Company	300778	Agent - Casualty	8/15/2000	4/6/2011
Inactive	Allstate Indemnity Company	300778	Agent - General Lines	11/14/1997	8/15/2000
Inactive	Allstate Indemnity Company	300778	Agent - Property	8/15/2000	4/6/2011
Inactive	Allstate Insurance Company	300773	Agent - Casualty	8/15/2000	4/6/2011
Inactive	Allstate Insurance Company	300773	Agent - General Lines	11/14/1997	8/15/2000
Inactive	Allstate Insurance Company	300773	Agent - Property	8/15/2000	4/6/2011
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	9/22/2003	4/6/2011
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	9/22/2003	4/6/2011
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	2/23/2010	8/5/2013
Inactive	American Family Home Insurance Company	301817	Agent - Property	2/23/2010	8/5/2013
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	10/16/2006	1/4/2008
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	10/16/2006	1/4/2008
Inactive	American General Life and Accident Insurance Company	301362	Temporary Agent - Ordinary Life (Temporary Life)	6/3/1996	7/18/1996
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	2/23/2010	8/5/2013
Inactive	American Modern Home Insurance Company	300791	Agent - Property	2/23/2010	8/5/2013
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	2/23/2010	8/5/2013
Inactive	American Modern Select Insurance Company	581481	Agent - Property	2/23/2010	8/5/2013
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	2/23/2010	8/5/2013
Inactive	American Southern Home Insurance Company	626276	Agent - Property	2/23/2010	8/5/2013
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/19/2007	8/3/2007
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/19/2007	8/3/2007
Inactive	Conseco Insurance Company	301202	Agent - Health	7/2/2004	10/1/2010
Inactive	Conseco Insurance Company	301202	Agent - Life	7/2/2004	10/1/2010
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	12/14/2004	4/23/2012
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	2/26/2010	11/8/2012
Inactive	Encompass Indemnity Company	546376	Agent - Property	2/26/2010	11/8/2012
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	2/26/2010	11/8/2012
Inactive	Encompass Insurance Company of America	556578	Agent - Property	2/26/2010	11/8/2012
Inactive	Everlake Life Insurance Company	300873	Agent - Health	12/4/1997	4/6/2011
Inactive	Everlake Life Insurance Company	300873	Agent - Life	12/4/1997	4/6/2011
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	6/5/2003	12/23/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	6/5/2003	12/23/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/24/2003	8/5/2013
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	3/3/2010	8/5/2013
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	3/3/2010	8/5/2013
Inactive	Grange Insurance Company	300234	Agent - Casualty	3/3/2010	8/5/2013
Inactive	Grange Insurance Company	300234	Agent - Property	3/3/2010	8/5/2013
Inactive	Grange Life Insurance Company	300128	Agent - Health	3/3/2010	8/5/2013
Inactive	Grange Life Insurance Company	300128	Agent - Life	3/3/2010	8/5/2013
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	3/3/2010	8/5/2013
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	3/3/2010	8/5/2013
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	7/22/2003	12/2/2004
Inactive	Infinity Standard Insurance Company	301643	Agent - Casualty	4/29/2002	10/15/2004
Inactive	Infinity Standard Insurance Company	301643	Agent - Property	4/29/2002	10/15/2004
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	9/29/2010	8/5/2013
Inactive	Kentucky National Insurance Company	301625	Agent - Property	9/29/2010	8/5/2013
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/29/2003	4/7/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/29/2003	4/7/2009
Inactive	MICO Insurance Company	301664	Agent - Casualty	3/19/2010	12/13/2011
Inactive	MICO Insurance Company	301664	Agent - Property	3/19/2010	12/13/2011
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	3/19/2010	8/5/2013
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	3/19/2010	8/5/2013
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	6/28/2005	12/8/2008
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	6/28/2005	12/8/2008
Inactive	Nationwide General Insurance Company	300603	Agent - Property	6/28/2005	12/8/2008
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	6/28/2005	12/8/2008
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	6/28/2005	12/8/2008
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	10/15/2007	12/8/2008
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	6/28/2005	12/8/2008
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	6/28/2005	12/8/2008
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	6/28/2005	12/8/2008
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	6/28/2005	12/8/2008
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	6/28/2005	12/8/2008
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	6/28/2005	12/8/2008
Inactive	Oakwood Insurance Company	300453	Agent - Property	9/18/1996	11/6/1997
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	1/4/2005	3/24/2010
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	1/4/2005	3/24/2010
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	1/4/2005	3/24/2010
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	1/4/2005	3/24/2010
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	3/3/2010	8/5/2013
Inactive	Trustgard Insurance Company	300104	Agent - Property	3/3/2010	8/5/2013
Inactive	United Financial Casualty Company	301886	Agent - Casualty	12/2/2005	3/24/2010
Inactive	United Financial Casualty Company	301886	Agent - Property	12/2/2005	3/24/2010
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	2/15/2007	12/8/2008
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	2/15/2007	12/8/2008
Inactive	Washington National Insurance Company	300587	Agent - Health	10/1/2010	12/16/2010
Inactive	Washington National Insurance Company	300587	Agent - Life	10/1/2010	12/16/2010
Inactive	Western Surety Company	300283	Agent - Casualty	6/19/2003	8/2/2011
Inactive	Weston Property & Casualty Insurance Company	676679	Agent - Casualty	10/2/2008	8/5/2013
Inactive	Weston Property & Casualty Insurance Company	676679	Agent - Property	10/2/2008	8/5/2013
Inactive	Wilco Life Insurance Company	300122	Agent - Life	9/26/2002	12/14/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Autoinsurance Network, Inc.	398917	Agent - Property	4/4/2002	3/28/2005
Inactive	Autoinsurance Network, Inc.	398917	Agent - Casualty	4/4/2002	3/28/2005
Inactive	CMI P&C, Inc.	600128	Agent - Life	2/24/2010	8/5/2013
Inactive	CMI P&C, Inc.	600128	Agent - Health	2/24/2010	8/5/2013
Inactive	CMI P&C, Inc.	600128	Agent - Property	2/24/2010	8/5/2013
Inactive	CMI P&C, Inc.	600128	Agent - Casualty	2/24/2010	8/5/2013
Inactive	Gary A. Campbell Insurance Agency Inc.	398652	Agent - Life	6/25/1999	4/11/2002
Inactive	Gary A. Campbell Insurance Agency Inc.	398652	Agent - Health	6/25/1999	4/11/2002
Inactive	Gary A. Campbell Insurance Agency Inc.	398652	Agent - Property	8/15/2000	4/11/2002
Inactive	Gary A. Campbell Insurance Agency Inc.	398652	Agent - General Lines	6/25/1999	8/15/2000
Inactive	Gary A. Campbell Insurance Agency Inc.	398652	Agent - Casualty	8/15/2000	4/11/2002