DEPARTMENT OF INSURANCE
Affiliations
NameWillis, David WayneDOIID388502NAIC NPN7208312
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth1/30/2001 7/31/2025
ActiveResidentAgentLife1/30/2001 7/31/2025
ActiveResidentAgentLimited Line Credit8/7/2000 7/31/2025
ActiveResidentAgentCasualty11/26/2003 7/31/2025
ActiveResidentAgentProperty1/28/2004 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.
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 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
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
ActiveDental Care Plus Inc.301495Agent - Health2/17/2006 
ActiveDental Concern Inc. (The)301641Agent - Health4/20/2022 
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
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
ActiveHumana Health Plan, Inc.300142Agent - Health6/6/2003 
ActiveHumana Insurance Company301104Agent - Health6/6/2003 
ActiveHumana Insurance Company301104Agent - Life6/6/2003 
ActiveHumana Insurance Company of Kentucky300826Agent - Health4/14/2021 
ActiveHumana Insurance Company of Kentucky300826Agent - Life4/14/2021 
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 
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
ActiveDesignated Agent Company Inc.681257Agent - Life12/12/2013 
ActiveDesignated Agent Company Inc.681257Agent - Health12/12/2013 
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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