PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameBeverly, Donald EugeneDOIID358870NAIC NPN632973
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth5/1/19855/31/2006 
InactiveResidentAgentLife5/1/19855/31/2006 
AFFIDAVIT ON FILE
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllianz Life Insurance Company of North America301791Agent - Health10/14/20025/31/2006
InactiveAllianz Life Insurance Company of North America301791Agent - Life10/14/20025/31/2006
InactiveAllied Life Insurance Company301294Agent - Health7/6/19943/6/1998
InactiveAllied Life Insurance Company301294Agent - Life7/6/19943/6/1998
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health5/22/20039/30/2004
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life5/22/20039/30/2004
InactiveBankers Fidelity Life Insurance Company300193Agent - Health6/3/19993/21/2003
InactiveBankers Fidelity Life Insurance Company300193Agent - Life6/3/19993/21/2003
InactiveConseco Insurance Company301202Agent - Life12/11/199510/3/2003
InactiveContinental General Insurance Company300691Agent - Health5/2/200012/4/2002
InactiveContinental General Insurance Company300691Agent - Life5/2/200012/4/2002
InactiveELCO Mutual Life and Annuity300503Agent - Life1/31/20005/31/2006
InactiveIllinois Mutual Life Insurance Company301479Agent - Health9/8/19895/31/2006
InactiveIllinois Mutual Life Insurance Company301479Agent - Life9/8/19895/31/2006
InactiveJefferson Pilot Financial Insurance Company300756Agent - Health5/1/19853/5/1997
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life5/1/19853/5/1997
InactiveJohn Hancock Life Insurance Company300821Agent - Health8/19/20025/31/2006
InactiveJohn Hancock Life Insurance Company300821Agent - Life8/19/20025/31/2006
InactiveMutual of Omaha Insurance Company301012Agent - Health6/20/19972/8/2005
InactiveOld Line Life Insurance Company of America (The)301709Agent - Health10/27/19923/31/1997
InactiveOld Line Life Insurance Company of America (The)301709Agent - Life7/1/19974/21/1999
InactivePenn Treaty Network America Insurance Company301297Agent - Health10/30/199811/12/2002
InactivePenn Treaty Network America Insurance Company301297Agent - Life10/30/199811/12/2002
InactivePioneer Life Insurance Company300110Agent - Health9/8/19894/24/2003
InactivePioneer Life Insurance Company300110Agent - Life9/8/19894/24/2003
InactiveStandard Life and Accident Insurance Company301534Agent - Health2/2/20007/8/2004
InactiveStandard Life and Accident Insurance Company301534Agent - Life2/2/20007/8/2004
InactiveState Mutual Insurance Company300359Agent - Health9/12/19984/16/2001
InactiveState Mutual Insurance Company300359Agent - Life9/12/19984/16/2001
InactiveTime Insurance Company300683Agent - Health8/28/19972/9/2001
InactiveTime Insurance Company300683Agent - Life8/28/19972/9/2001
InactiveUnion Security Insurance Company301844Agent - Health7/16/199212/31/2000
InactiveUnion Security Insurance Company301844Agent - Life7/16/199212/31/2000
InactiveUnited American Insurance Company300910Agent - Health9/29/198912/23/2004
InactiveUnited American Insurance Company300910Agent - Life9/29/198912/23/2004
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health10/3/19953/31/1997
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life10/3/19953/31/1997
InactiveWilco Life Insurance Company300122Agent - Health10/31/20025/31/2006
InactiveWilco Life Insurance Company300122Agent - Life10/31/20025/31/2006
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDon Beverly & Associates Inc.401078Agent - Life4/11/19945/31/2004
InactiveDon Beverly & Associates Inc.401078Agent - Health4/11/19945/31/2004
InactivePlanchoice Inc.400482Agent - Life3/5/20035/31/2006
InactivePlanchoice Inc.400482Agent - Health3/5/20035/31/2006
InactiveWest Kentucky Group Benefits401049Agent - Life12/28/19982/24/2003
InactiveWest Kentucky Group Benefits401049Agent - Health12/28/19982/24/2003

© Commonwealth of Kentucky. All rights reserved.