DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dodson, Douglas L	DOIID	540079	NAIC NPN	2205541

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/2/2001	11/30/2007
Inactive	Non Resident	Agent	Life	3/13/2008	11/30/2015
* 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 Heritage Life Insurance Company	300272	Agent - Life	5/1/2011	1/4/2013
Inactive	Encova Life Insurance Company	301818	Agent - Health	11/2/2001	11/30/2007
Inactive	Encova Life Insurance Company	301818	Agent - Life	3/14/2008	11/30/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Broad Street Brokerage Insurance Agency, LLC	540067	Agent - Health	1/3/2002	11/30/2007
Inactive	Broad Street Brokerage Insurance Agency, LLC	540067	Agent - Life	1/3/2002	11/30/2007