DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Daugherty Enterprizes Ltd	DOIID	400155	NAIC NPN	7222212

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	6/16/1997	3/29/2000
Inactive	Resident	Agent	Life	6/16/1997	3/29/2000
Inactive	Resident	Agent	Health Maintenance Organization	6/23/1997	9/4/1997
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/8/1998	3/29/2000
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/8/1998	3/29/2000
Inactive	Time Insurance Company	300683	Agent - Health	6/16/1997	9/4/1997
Inactive	Time Insurance Company	300683	Agent - Life	6/16/1997	9/4/1997
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health Maintenance Organization	6/23/1997	9/4/1997

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Daugherty, Jack W	316275	Agent - Health	9/8/1998	12/1/2000
Inactive	Daugherty, Jack W	316275	Agent - Life	9/8/1998	12/1/2000