DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	James H. Davis Funeral Home Inc.	DOIID	398770	NAIC NPN	7221145

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	4/10/1998		3/31/2026
* 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	Forethought Life Insurance Company	301407	Agent - Life	2/21/2003	3/15/2012
Active	Homesteaders Life Company	300836	Agent - Life	2/22/2013
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	4/13/2009	12/31/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Boyle, William T	390984	Agent - Life	6/1/2004
Inactive	Davis, Dawson Robinson	378447	Agent - Life	4/10/1998	7/1/2002
Inactive	Hoffman, Lloyd Kenneth	385879	Agent - Life	1/26/2007	3/1/2022
Active	House, Rachael Anne	1061321	Agent - Life	8/31/2021
Active	Russell, Alan Neil	636602	Agent - Life	8/31/2021