DEPARTMENT OF INSURANCE

Affiliations

Name	Prevett, Daniel	DOIID	666707	NAIC NPN	9795255

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	11/28/2007	9/1/2011
Inactive	Resident	Agent	Health	10/7/2008	9/1/2011
* 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	Allianz Life Insurance Company of North America	301791	Agent - Life	1/10/2008	9/1/2011
Inactive	American General Life Insurance Company	301585	Agent - Life	12/14/2007	10/20/2011
Inactive	Assurity Life Insurance Company	301099	Agent - Life	12/28/2007	1/28/2009
Inactive	Athene Annuity and Life Company	301893	Agent - Life	6/1/2010	5/2/2011
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/8/2009	9/1/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Health	10/8/2009	9/1/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	10/8/2009	9/1/2011
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	9/2/2009	10/16/2009
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2010	9/1/2011
Inactive	Essence Healthcare, Inc.	657425	Agent - Health	11/6/2009	3/31/2011
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	9/2/2009	10/16/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/8/2009	9/1/2011
Inactive	Humana Insurance Company	301104	Agent - Health	10/8/2009	9/1/2011
Inactive	Humana Insurance Company	301104	Agent - Life	10/8/2009	9/1/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/8/2009	9/1/2011
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/8/2009	9/1/2011
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	4/15/2009	9/1/2011
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/24/2009	9/21/2011
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/24/2009	9/21/2011
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	1/2/2008	11/27/2008
Inactive	Pruco Life Insurance Company	300954	Agent - Health	2/5/2009	9/1/2011
Inactive	Pruco Life Insurance Company	300954	Agent - Life	2/5/2009	9/1/2011
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	6/22/2009	9/1/2011
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	3/20/2008	9/1/2011
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	5/20/2008	3/31/2009
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/20/2008	11/1/2010
Inactive	West Coast Life Insurance Company	301607	Agent - Health	11/16/2009	9/1/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	11/16/2009	9/1/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Future Assurance, Inc.	652213	Agent - Health	6/4/2010	9/1/2011
Inactive	Future Assurance, Inc.	652213	Agent - Life	6/4/2010	9/1/2011
Inactive	North American Life Plans LLC	645076	Agent - Health	9/22/2010	9/1/2011
Inactive	North American Life Plans LLC	645076	Agent - Life	9/22/2010	9/1/2011