DEPARTMENT OF INSURANCE

Affiliations

Name	Baker, David Michael	DOIID	728251	NAIC NPN	15772802

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	6/28/2010	4/1/2013
Inactive	Resident	Agent	Life	6/28/2010	4/1/2013
* 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	Berkshire Life Insurance Company of America	300983	Agent - Health	8/24/2010	3/28/2012
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	8/24/2010	3/28/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/19/2010	4/1/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Health	8/19/2010	4/1/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	8/19/2010	4/1/2013
Inactive	Dental Care Plus Inc.	301495	Agent - Health	7/28/2011	4/1/2013
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/19/2010	4/1/2013
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	8/24/2010	4/10/2013
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	8/24/2010	4/10/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/3/2010	4/1/2013
Inactive	Humana Insurance Company	301104	Agent - Health	8/3/2010	4/1/2013
Inactive	Humana Insurance Company	301104	Agent - Life	8/3/2010	4/1/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/19/2010	4/1/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/19/2010	4/1/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	8/19/2010	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	8/19/2010	12/19/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/3/2010	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/3/2010	4/25/2013
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	12/23/2010	3/22/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/23/2010	3/22/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	10/4/2010	3/1/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	10/4/2010	3/1/2012
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/6/2010	4/1/2013
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/6/2010	4/1/2013
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/6/2010	4/1/2013
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/6/2010	4/1/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	3/4/2011	4/1/2013
Inactive	Paychex Insurance Agency Inc	509469	Agent - Life	8/3/2010	3/12/2012
Inactive	Paychex Insurance Agency Inc	509469	Agent - Health	8/3/2010	3/12/2012