DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, William A	DOIID	356241	NAIC NPN	5954072

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	5/28/1999	7/1/2002
Inactive	Resident	Agent	Life	5/28/1999	7/1/2002
* 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	AF&L Insurance Company	301582	Agent - Health	7/24/2000	7/1/2002
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	8/16/1999	5/15/2000
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	5/28/1999	2/12/2001
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	5/28/1999	2/12/2001
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/7/2000	7/1/2002
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	2/21/2000	7/1/2002
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	2/21/2000	7/1/2002
Inactive	Southwestern Life Insurance Company	301343	Agent - Health	6/16/1999	7/1/2002
Inactive	Southwestern Life Insurance Company	301343	Agent - Life	6/16/1999	7/1/2002
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	5/30/2000	7/1/2002
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	5/30/2000	7/1/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cornerstone Senior Services LLC	399590	Agent - Life	1/26/2000	10/9/2000
Inactive	Cornerstone Senior Services LLC	399590	Agent - Health	1/26/2000	10/9/2000