DEPARTMENT OF INSURANCE
Affiliations
NameRay, Kansas DawnDOIID623303NAIC NPN8685065
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth1/17/2006 3/31/2027
ActiveResidentAgentLife1/17/2006 3/31/2027
* 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
Agent01/15/202703/31/2027   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health1/17/2006 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life1/17/2006 
ActiveCincinnati Life Insurance Company (The)300601Agent - Life11/8/2018 
InactiveColonial Life and Accident Insurance Company300846Agent - Health9/30/20202/13/2024
InactiveColonial Life and Accident Insurance Company300846Agent - Life9/30/20202/13/2024
ActiveCombined Insurance Company of America301472Agent - Health10/25/2018 
ActiveCombined Insurance Company of America301472Agent - Life10/25/2018 
ActiveContinental American Insurance Company301700Agent - Health11/15/2010 
ActiveContinental American Insurance Company301700Agent - Life11/15/2010 
InactiveProtective Life Insurance Company300638Agent - Health1/17/202111/23/2023
InactiveProtective Life Insurance Company300638Agent - Life1/17/202111/23/2023
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHollandstivers Employer Solutions LLC1073922Agent - Health1/6/20218/30/2022
InactiveHollandstivers Employer Solutions LLC1073922Agent - Life1/6/20218/30/2022

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