DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dorsey, David O	DOIID	667388	NAIC NPN	9851980

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	3/13/2008	6/24/2010
Inactive	Resident	Agent	Life	3/13/2008	6/24/2010
* 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	Banner Life Insurance Company	301696	Agent - Life	4/15/2008	6/24/2010
Inactive	C.M. Life Insurance Company	301335	Agent - Health	7/28/2008	6/24/2010
Inactive	C.M. Life Insurance Company	301335	Agent - Life	7/28/2008	6/24/2010
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	4/16/2008	10/4/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	4/16/2008	10/4/2009
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	7/28/2008	6/24/2010
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	7/28/2008	6/24/2010
Inactive	Standard Insurance Company	300185	Agent - Health	4/25/2008	6/24/2010
Inactive	Standard Insurance Company	300185	Agent - Life	4/25/2008	6/24/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/30/2008	6/24/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/30/2008	6/24/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Health	4/16/2008	4/30/2010
Inactive	Medlink Inc	400721	Agent - Life	4/15/2008	4/30/2010