DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, David H	DOIID	364354	NAIC NPN	7197800

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	8/15/2000	12/23/2004
Inactive	Resident	Agent	Health	9/30/1999	7/1/2006
Inactive	Resident	Agent	Life	9/30/1999	7/1/2006
Inactive	Resident	Agent	General Lines	9/30/1999	8/15/2000
Inactive	Resident	Agent	Variable Life and Variable Annuities	5/31/2001	10/9/2004
Inactive	Resident	Agent	Casualty	8/15/2000	12/23/2004
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	7/16/2003	7/19/2006
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	7/16/2003	7/19/2006
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	12/3/2003	10/9/2004
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	12/3/2003	10/9/2004
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	8/15/2000	9/22/2004
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	11/18/1999	8/15/2000
Inactive	Dairyland Insurance Company	301370	Agent - Property	8/15/2000	9/22/2004
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000	8/27/2004
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	9/30/1999	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - Property	8/15/2000	8/27/2004
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/16/2004	12/23/2004
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/16/2004	12/23/2004
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/3/2003	3/7/2005
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/3/2003	3/7/2005
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	10/24/2005	7/1/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	10/24/2005	7/1/2006
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000	8/27/2004
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	9/30/1999	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000	8/27/2004
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	9/30/1999	8/27/2004
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	9/30/1999	8/27/2004
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Variable Life and Variable Annuities	5/31/2001	8/27/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	10/19/1999	8/15/2000
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	10/19/1999	8/27/2004
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	10/19/1999	8/27/2004
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000	8/27/2004
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000	8/27/2004
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Life	9/7/2004	7/1/2006
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Health	9/7/2004	7/1/2006