DEPARTMENT OF INSURANCE

Affiliations

Name	Daugherty, Pat M	DOIID	373060	NAIC NPN	1480588

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	4/26/1993	3/31/2020
Inactive	Resident	Agent	Life	4/26/1993	3/31/2020
* 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	American General Life Insurance Company	301585	Agent - Health	6/20/2003	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	6/20/2003	10/25/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/14/1996	6/7/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/14/1996	6/7/2000
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	6/8/1993	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	6/8/1993	3/31/1997
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/25/2012	4/14/2014
Inactive	Conseco Health Insurance Company	301725	Agent - Health	7/19/2001	6/26/2003
Inactive	Conseco Health Insurance Company	301725	Agent - Life	7/19/2001	6/26/2003
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	12/30/1996	1/2/2002
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	12/30/1996	1/2/2002
Inactive	Delaware Life Insurance Company	301256	Agent - Life	5/8/2006	11/24/2010
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/25/2012	4/14/2014
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	10/10/1995	10/28/1996
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	10/10/1995	10/28/1996
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/25/2012	4/14/2014
Inactive	Humana Insurance Company	301104	Agent - Health	8/24/2012	4/14/2014
Inactive	Humana Insurance Company	301104	Agent - Life	8/24/2012	4/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/25/2012	4/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/25/2012	4/14/2014
Inactive	Jefferson National Life Insurance Company	300258	Agent - Life	12/1/2004	6/8/2006
Inactive	John Alden Life Insurance Company	300573	Agent - Health	11/27/2000	11/7/2002
Inactive	John Alden Life Insurance Company	300573	Agent - Life	11/27/2000	11/7/2002
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/25/2012	4/14/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/25/2012	4/14/2014
Inactive	LifeSecure Insurance Company	301629	Agent - Health	10/24/1995	3/31/1997
Inactive	LifeSecure Insurance Company	301629	Agent - Life	10/24/1995	3/31/1997
Inactive	LifeUSA Insurance Company	300386	Agent - Health	7/29/1993	3/6/1996
Inactive	LifeUSA Insurance Company	300386	Agent - Life	7/29/1993	3/6/1996
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	6/20/1996	10/23/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	6/20/1996	10/23/2002
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	2/15/1995	3/27/1997
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	2/15/1995	3/27/1997
Inactive	Time Insurance Company	300683	Agent - Health	11/9/1998	11/15/2002
Inactive	Time Insurance Company	300683	Agent - Life	11/9/1998	11/15/2002
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/22/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/22/1995	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Health	4/26/1993	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Life	4/26/1993	3/31/1997
Inactive	Western National Life Insurance Company	300461	Agent - Life	6/5/2003	12/3/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	7/31/1996	6/19/2000
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	7/31/1996	6/19/2000
Inactive	Tri-State Brokerage Inc.	399941	Agent - Life	1/14/2005	4/14/2014
Inactive	Tri-State Brokerage Inc.	399941	Agent - Health	1/14/2005	4/14/2014