DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, David William	DOIID	633846	NAIC NPN	8825254

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	8/16/2006	10/1/2009
Inactive	Resident	Agent	Life	8/8/2006	10/1/2009
Inactive	Resident	Agent	Property	8/4/2006	10/1/2009
Inactive	Resident	Agent	Casualty	8/22/2006	10/1/2009
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	6/8/2007	6/4/2008
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	6/8/2007	6/4/2008
Inactive	American General Life Insurance Company	301585	Agent - Health	6/29/2007	10/1/2009
Inactive	American General Life Insurance Company	301585	Agent - Life	6/29/2007	10/1/2009
Inactive	Banner Life Insurance Company	301696	Agent - Life	8/20/2007	10/1/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	6/14/2007	9/19/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	6/14/2007	9/19/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/11/2007	10/1/2009
Inactive	Humana Insurance Company	301104	Agent - Health	9/11/2007	10/1/2009
Inactive	Humana Insurance Company	301104	Agent - Life	9/11/2007	10/1/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/11/2007	10/1/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/11/2007	10/1/2009
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	3/15/2007	6/11/2008
Inactive	Selective Insurance Company of America	500018	Agent - Property	3/15/2007	6/11/2008
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	3/15/2007	6/11/2008
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	3/15/2007	6/11/2008
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	3/15/2007	6/11/2008
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	3/15/2007	6/11/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	8/3/2007	10/1/2009
Inactive	Maverick Insurance, LLC	553924	Agent - Casualty	4/17/2007	6/11/2008
Inactive	Maverick Insurance, LLC	553924	Agent - Health	8/9/2007	1/16/2009
Inactive	Maverick Insurance, LLC	553924	Agent - Life	8/9/2007	1/16/2009
Inactive	Maverick Insurance, LLC	553924	Agent - Property	4/17/2007	6/11/2008