DEPARTMENT OF INSURANCE
Affiliations
NameLilly III, Donald RayDOIID712868NAIC NPN9082646
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife9/3/20092/28/2018 
InactiveNon ResidentAgentHealth9/3/20092/28/2018 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveMutual of Omaha Insurance Company301012Agent - Health11/3/20093/7/2017
InactiveOmaha Insurance Company751908Agent - Health3/27/20123/7/2017
InactiveUnited of Omaha Life Insurance Company300156Agent - Health11/3/20093/7/2017
InactiveUnited of Omaha Life Insurance Company300156Agent - Life11/3/20093/7/2017
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedFuturity First Insurance Group LLC676947Agent - Health  
DeniedFuturity First Insurance Group LLC676947Agent - Life  

© Commonwealth of Kentucky. All rights reserved.