DEPARTMENT OF INSURANCE
Affiliations
NameWillis, David WayneDOIID388502NAIC NPN7208312
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife1/30/2001 7/31/2025
ActiveResidentAgentHealth1/30/2001 7/31/2025
ActiveResidentAgentCasualty11/26/2003 7/31/2025
ActiveResidentAgentProperty1/28/2004 7/31/2025
ActiveResidentAgentLimited Line Credit8/7/2000 7/31/2025
InactiveResidentAgentCredit Life & Health8/13/19998/7/2000 
ActiveResidentLife & Health ConsultantNot Applicable11/30/2015 7/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent05/15/202507/31/2025   
Life & Health Consultant05/15/202507/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveARAG Insurance Company549389Agent - Casualty12/3/2013 
InactiveAetna Health Inc.300694Agent - Health1/29/200212/31/2007
ActiveAetna Health Inc. (PA)660717Agent - Health6/23/2016 
ActiveAetna Life Insurance Company301140Agent - Health6/23/2016 
ActiveAetna Life Insurance Company301140Agent - Life6/23/2016 
ActiveAll Savers Insurance Company301940Agent - Health8/16/2023 
ActiveAll Savers Insurance Company301940Agent - Life8/16/2023 
ActiveAmerican Fidelity Assurance Company301004Agent - Health9/6/2024 
ActiveAmerican Fidelity Assurance Company301004Agent - Life9/6/2024 
ActiveAmerican Heritage Life Insurance Company300272Agent - Health9/27/2015 
ActiveAmerican Heritage Life Insurance Company300272Agent - Life9/27/2015 
ActiveAmerican United Life Insurance Company300498Agent - Health2/9/2015 
ActiveAmerican United Life Insurance Company300498Agent - Life2/9/2015 
InactiveAmeritas Life Insurance Corporation300126Agent - Health9/18/201012/31/2012
InactiveAmeritas Life Insurance Corporation300126Agent - Life9/18/201012/31/2012
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health1/31/2025 
InactiveAssurance Company of America300432Agent - Casualty3/10/20042/24/2009
InactiveAssurance Company of America300432Agent - Property3/10/20042/24/2009
ActiveBankers Fidelity Life Insurance Company300193Agent - Health8/17/2021 
ActiveBankers Fidelity Life Insurance Company300193Agent - Life8/17/2021 
ActiveBanner Life Insurance Company301696Agent - Life1/22/2014 
ActiveBrickStreet Mutual Insurance Company709251Agent - Casualty5/23/2018 
InactiveBrighthouse Life Insurance Company301829Agent - Life12/7/20072/16/2010
ActiveCIGNA Dental Health of Kentucky, Inc.300904Agent - Health10/9/2017 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health10/9/2017 
ActiveCombined Insurance Company of America301472Agent - Health2/1/2019 
ActiveCombined Insurance Company of America301472Agent - Life2/1/2019 
InactiveCompBenefits Dental, Inc.591692Agent - Health12/14/201512/13/2016
InactiveCompBenefits Insurance Company301864Agent - Health1/15/202012/15/2020
InactiveCompBenefits Insurance Company301864Agent - Life4/15/20107/2/2013
ActiveCompanion Life Insurance Company300191Agent - Health9/3/2021 
ActiveCompanion Life Insurance Company300191Agent - Life9/3/2021 
InactiveContinental General Insurance Company300691Agent - Health8/9/20181/25/2019
InactiveContinental General Insurance Company300691Agent - Life8/9/20181/25/2019
Pending ReplacementDental Care Plus Inc.301495Agent - Health2/17/2006 
InactiveDental Concern Inc. (The)301641Agent - Health4/20/202212/12/2024
ActiveDoctors Company, an Interinsurance Exchange (The)301946Agent - Casualty12/20/2010 
ActiveDoctors Company, an Interinsurance Exchange (The)301946Agent - Property12/20/2010 
InactiveEncompass Indemnity Company546376Agent - Casualty1/7/200512/28/2007
InactiveEncompass Indemnity Company546376Agent - Property1/7/200512/28/2007
InactiveEquitable Financial Life Insurance Company of America301772Agent - Health10/8/202012/11/2022
InactiveEquitable Financial Life Insurance Company of America301772Agent - Life10/8/202012/11/2022
ActiveFidelity Security Life Insurance Company300466Agent - Health12/7/2009 
ActiveFidelity Security Life Insurance Company300466Agent - Life12/7/2009 
InactiveFirst Colony Life Insurance Company301179Agent - Life5/27/20051/1/2007
InactiveGenworth Life Insurance Company300623Agent - Health9/22/200910/30/2013
InactiveGenworth Life Insurance Company300623Agent - Life1/6/200610/30/2013
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health10/29/200912/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life10/29/200912/7/2012
ActiveGerber Life Insurance Company300529Agent - Health11/18/2024 
InactiveGlatfelter Insurance Company301640Agent - Casualty3/10/200411/30/2007
InactiveGlatfelter Insurance Company301640Agent - Property3/10/200411/30/2007
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life2/21/200610/5/2021
ActiveGuardian Life Insurance Company of America301316Agent - Health7/25/2019 
ActiveGuardian Life Insurance Company of America301316Agent - Life7/25/2019 
ActiveHCC Life Insurance Company301827Agent - Health1/9/2017 
InactiveHartford Accident and Indemnity Company301917Agent - Casualty8/23/20054/20/2016
InactiveHartford Accident and Indemnity Company301917Agent - Property8/23/20054/20/2016
InactiveHartford Casualty Insurance Company301332Agent - Casualty8/23/20054/20/2016
InactiveHartford Casualty Insurance Company301332Agent - Property8/23/20054/20/2016
InactiveHartford Fire Insurance Company300628Agent - Casualty8/23/20054/20/2016
InactiveHartford Fire Insurance Company300628Agent - Property8/23/20054/20/2016
InactiveHartford Insurance Company of the Midwest301918Agent - Casualty8/23/20054/20/2016
InactiveHartford Insurance Company of the Midwest301918Agent - Property8/23/20054/20/2016
ActiveHartford Life and Accident Insurance Company300878Agent - Health7/19/2004 
ActiveHartford Life and Accident Insurance Company300878Agent - Life7/19/2004 
InactiveHartford Underwriters Insurance Company301064Agent - Casualty8/23/20054/20/2016
InactiveHartford Underwriters Insurance Company301064Agent - Property8/23/20054/20/2016
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health1/15/202012/15/2020
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health1/15/202012/15/2020
InactiveHumana Health Plan, Inc.300142Agent - Health6/6/200312/12/2024
InactiveHumana Insurance Company301104Agent - Health6/6/200312/12/2024
InactiveHumana Insurance Company301104Agent - Life6/6/200312/12/2024
InactiveHumana Insurance Company of Kentucky300826Agent - Health4/14/202112/12/2024
InactiveHumana Insurance Company of Kentucky300826Agent - Life4/14/202112/12/2024
InactiveHumana Medical Plan, Inc.801568Agent - Health1/15/202012/15/2020
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health1/15/202012/15/2020
InactiveHumanaDental Insurance Company301457Agent - Health8/30/20065/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life8/30/20065/13/2013
InactiveInvestors Heritage Life Insurance Company300363Agent - Credit Life & Health8/13/19998/7/2000
ActiveInvestors Heritage Life Insurance Company300363Agent - Limited Line Credit8/7/2000 
InactiveKanawha Insurance Company300127Agent - Health2/4/20118/9/2018
InactiveKanawha Insurance Company300127Agent - Life2/4/20118/9/2018
ActiveLife Insurance Company of North America300711Agent - Life10/24/2014 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health7/29/2014 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life7/29/2014 
InactiveMAG Mutual Insurance Company500011Agent - Casualty1/23/20131/29/2019
InactiveMAG Mutual Insurance Company500011Agent - Property1/23/20131/29/2019
ActiveMadison National Life Insurance Company Inc.301458Agent - Health4/25/2024 
ActiveMadison National Life Insurance Company Inc.301458Agent - Life4/25/2024 
InactiveMaryland Casualty Company301719Agent - Casualty3/10/20042/24/2009
InactiveMaryland Casualty Company301719Agent - Property3/10/20042/24/2009
InactiveMedAmerica Insurance Company301568Agent - Health9/27/20117/1/2014
ActiveMedical Protective Company (The)301207Agent - Casualty7/21/2005 
ActiveMedical Protective Company (The)301207Agent - Property7/21/2005 
InactiveMetLife Life and Annuity Company of Connecticut301593Agent - Life5/13/200512/7/2007
ActiveMetropolitan Life Insurance Company301948Agent - Health7/12/2016 
ActiveMetropolitan Life Insurance Company301948Agent - Life7/12/2016 
ActiveNorthStone Insurance Company818905Agent - Casualty5/23/2018 
InactiveNorthern Insurance Company of New York301317Agent - Casualty3/10/20042/24/2009
InactiveNorthern Insurance Company of New York301317Agent - Property3/10/20042/24/2009
InactiveOld Guard Insurance Company533854Agent - Casualty6/4/20216/16/2021
InactiveOld Guard Insurance Company533854Agent - Property6/4/20216/16/2021
InactiveOpenly Insurance Company501694Agent - Casualty3/28/200812/6/2012
InactiveOpenly Insurance Company501694Agent - Property3/28/200812/6/2012
ActivePinnaclePoint Insurance Company819085Agent - Casualty5/23/2018 
ActivePrincipal Life Insurance Company300129Agent - Health10/27/2008 
ActivePrincipal Life Insurance Company300129Agent - Life10/27/2008 
ActivePrincipal National Life Insurance Company301926Agent - Life6/3/2021 
ActiveProvident Life and Accident Insurance Company301525Agent - Health12/21/2018 
ActiveProvident Life and Accident Insurance Company301525Agent - Life12/21/2018 
InactivePruco Life Insurance Company300954Agent - Life3/12/200812/23/2014
ActivePrudential Insurance Company of America300784Agent - Health11/30/2015 
ActivePrudential Insurance Company of America300784Agent - Life11/30/2015 
ActiveReliance Standard Life Insurance Company300584Agent - Health12/12/2024 
ActiveReliance Standard Life Insurance Company300584Agent - Life12/12/2024 
ActiveSelective Insurance Company of America500018Agent - Casualty12/10/2012 
ActiveSelective Insurance Company of America500018Agent - Property12/10/2012 
ActiveSelective Insurance Company of South Carolina500012Agent - Casualty12/10/2012 
ActiveSelective Insurance Company of South Carolina500012Agent - Property12/10/2012 
ActiveSelective Insurance Company of the Southeast300381Agent - Casualty12/10/2012 
ActiveSelective Insurance Company of the Southeast300381Agent - Property12/10/2012 
ActiveStandard Insurance Company300185Agent - Health6/2/2008 
ActiveStandard Insurance Company300185Agent - Life6/2/2008 
ActiveStarmount Life Insurance Company628031Agent - Health12/21/2018 
ActiveSummitPoint Insurance Company819084Agent - Casualty5/23/2018 
InactiveSun Life Assurance Company of Canada301811Agent - Health8/7/201212/22/2023
InactiveSun Life Assurance Company of Canada301811Agent - Life8/7/201212/22/2023
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Health12/3/20108/22/2011
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Life12/3/20108/22/2011
InactiveSuperior Dental Care Inc.300418Agent - Health8/10/201511/27/2018
ActiveSymetra Life Insurance Company301691Agent - Health11/28/2016 
ActiveSymetra Life Insurance Company301691Agent - Life11/28/2016 
InactiveTransamerica Life Insurance Company300571Agent - Health9/1/201612/3/2018
InactiveTransamerica Life Insurance Company300571Agent - Life9/1/201612/3/2018
InactiveTwin City Fire Insurance Company300721Agent - Casualty8/23/20054/20/2016
InactiveTwin City Fire Insurance Company300721Agent - Property8/23/20054/20/2016
ActiveUNUM Life Insurance Company of America300817Agent - Health12/21/2018 
ActiveUNUM Life Insurance Company of America300817Agent - Life12/21/2018 
InactiveUnderwriters at Lloyd's, London300658Agent - Casualty8/31/20057/11/2011
InactiveUnderwriters at Lloyd's, London300658Agent - Property8/31/20057/11/2011
InactiveUnion Central Life Insurance Company300307Agent - Health9/4/20031/12/2009
InactiveUnion Central Life Insurance Company300307Agent - Life9/4/20031/12/2009
InactiveUnion Security Insurance Company301844Agent - Health2/15/20132/4/2021
InactiveUnion Security Insurance Company301844Agent - Life2/15/20132/4/2021
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Health12/11/20031/28/2010
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Life12/11/20031/28/2010
ActiveUnited of Omaha Life Insurance Company300156Agent - Health10/28/2011 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life10/28/2011 
ActiveUnitedHealthcare Insurance Company300946Agent - Health8/16/2023 
ActiveUnitedHealthcare Insurance Company300946Agent - Life8/16/2023 
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health8/16/2023 
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/16/2023 
ActiveUnum Insurance Company301499Agent - Health12/21/2018 
ActiveUnum Insurance Company301499Agent - Life12/21/2018 
InactiveWest Coast Life Insurance Company301607Agent - Health9/30/200411/23/2009
InactiveWest Coast Life Insurance Company301607Agent - Life9/30/200411/23/2009
InactiveWestern National Life Insurance Company300461Agent - Life2/5/200110/21/2005
InactiveWestern-Southern Life Assurance Company301590Agent - Health1/30/200112/30/2013
InactiveWestern-Southern Life Assurance Company301590Agent - Life1/30/200112/30/2013
InactiveWestfield Champion Insurance Company1054839Agent - Casualty6/4/20216/16/2021
InactiveWestfield Champion Insurance Company1054839Agent - Property6/4/20216/16/2021
ActiveWestfield Insurance Company301950Agent - Casualty5/18/2010 
ActiveWestfield Insurance Company301950Agent - Property5/18/2010 
InactiveWestfield Premier Insurance Company1055055Agent - Casualty6/4/20216/16/2021
InactiveWestfield Premier Insurance Company1055055Agent - Property6/4/20216/16/2021
InactiveWestfield Superior Insurance Company1054978Agent - Casualty6/4/20216/16/2021
InactiveWestfield Superior Insurance Company1054978Agent - Property6/4/20216/16/2021
InactiveWestfield Touchstone Insurance Company1055057Agent - Casualty6/4/20216/16/2021
InactiveWestfield Touchstone Insurance Company1055057Agent - Property6/4/20216/16/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAssuredpartners NL, LLC762387Agent - Life9/22/2011 
ActiveAssuredpartners NL, LLC762387Agent - Health9/22/2011 
ActiveAssuredpartners NL, LLC762387Agent - Casualty9/22/2011 
ActiveAssuredpartners NL, LLC762387Agent - Property9/22/2011 
InactiveDental Choice Agency Inc.398085Agent - Health1/20/20107/21/2014
InactiveDesignated Agent Company Inc.681257Agent - Life12/12/20132/17/2025
InactiveDesignated Agent Company Inc.681257Agent - Health12/12/20132/17/2025
InactiveFifth Third Insurance Agency Inc399341Agent - Life2/23/20012/27/2007
InactiveFifth Third Insurance Agency Inc399341Agent - Health2/23/20012/27/2007
InactiveKMA Insurance Agency Inc.401270Agent - Life2/9/20043/3/2008
InactiveKMA Insurance Agency Inc.401270Agent - Health2/9/20043/3/2008
InactiveKMA Insurance Agency Inc.401270Agent - Casualty3/2/20043/3/2008
InactiveKMA Insurance Agency Inc.401270Agent - Property3/2/20043/3/2008
InactiveMaverick Insurance, LLC553924Agent - Casualty11/14/20113/31/2014
InactiveMaverick Insurance, LLC553924Agent - Property11/14/20113/31/2014
InactiveNeace Lukens, Inc.398909Agent - Life3/1/20083/31/2014
InactiveNeace Lukens, Inc.398909Agent - Health3/1/20083/31/2014
InactiveNeace Lukens, Inc.398909Agent - Casualty3/1/20083/31/2014
InactiveNeace Lukens, Inc.398909Agent - Property3/1/20083/31/2014
ActivePlanchoice Inc.400482Agent - Life2/24/2015 
ActivePlanchoice Inc.400482Agent - Health2/24/2015 

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