DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Holder, David S	DOIID	680100	NAIC NPN	3341015

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	6/30/2023		10/31/2025
Inactive	Non Resident	Agent	Property	5/7/2008	10/31/2009
Inactive	Non Resident	Agent	Life	5/7/2008	10/31/2009
Inactive	Non Resident	Agent	Casualty	5/7/2008	10/31/2009
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2025	10/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/1/2008	10/31/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/1/2008	10/31/2009

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 - Life	7/1/2008	10/31/2009
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/1/2008	10/31/2009