DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, Scott A	DOIID	728518	NAIC NPN	968972

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	5/17/2010		6/30/2026
Active	Non Resident	Agent	Health	5/17/2010		6/30/2026
* 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	04/15/2024	06/30/2024	04/09/2024	04/09/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	6/11/2010
Active	Aetna Life Insurance Company	301140	Agent - Health	6/11/2010
Active	Aetna Life Insurance Company	301140	Agent - Life	6/11/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/12/2013	12/19/2019
Inactive	Security Life Insurance Company of America	300936	Agent - Health	3/21/2013	12/5/2015
Inactive	Security Life Insurance Company of America	300936	Agent - Life	3/21/2013	12/5/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	5/13/2011	6/23/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	5/13/2011	11/13/2012
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	5/13/2011	11/13/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	5/13/2011	6/23/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	12/9/2013
Active	Designated Agent Company Inc.	681257	Agent - Life	12/9/2013
Active	Keystone Ins & Benefits Group LLC	716920	Agent - Health	5/11/2011
Active	Keystone Ins & Benefits Group LLC	716920	Agent - Life	5/11/2011
Active	Paychex Insurance Agency Inc	509469	Agent - Health	3/6/2024
Active	Paychex Insurance Agency Inc	509469	Agent - Life	3/6/2024