DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Davison, Anthony Lee	DOIID	641530	NAIC NPN	8937432

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Property
Denied	Resident	Agent	Casualty
Inactive	Resident	Agent	Health	6/11/2013	8/1/2014
Inactive	Resident	Agent	Life	6/4/2013	8/1/2014
* 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	3/9/2007	7/11/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/6/2013	8/1/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/6/2013	8/1/2014
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	1/6/2014	8/27/2014
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	1/6/2014	8/27/2014
Inactive	Combined Insurance Company of America	301472	Agent - Health	10/19/2006	4/16/2007
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	6/26/2013	1/17/2014
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/4/2013	5/29/2014
Inactive	Omaha Insurance Company	751908	Agent - Health	11/4/2013	5/29/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/4/2013	5/29/2014
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/4/2013	5/29/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	11/7/2013	8/1/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	11/7/2013	8/1/2014