DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, Jeremy Franklin	DOIID	738195	NAIC NPN	15963789

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	10/12/2010	6/30/2027
Active	Resident	Agent	Health	10/12/2010	6/30/2027
Active	Resident	Life Settlement Broker	Not Applicable	5/17/2024	6/30/2027
* 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	04/15/2025	06/30/2025	04/15/2025	04/15/2025	Yes
Life Settlement Broker	04/15/2025	06/30/2025	04/15/2025	04/15/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allianz Life Insurance Company of North America	301791	Agent - Life	2/21/2024
Active	American General Life Insurance Company	301585	Agent - Health	9/6/2016
Active	American General Life Insurance Company	301585	Agent - Life	9/6/2016
Active	American National Insurance Company	301861	Agent - Life	2/6/2023
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	11/26/2023
Active	Athene Annuity and Life Company	301893	Agent - Life	12/1/2023
Active	Brighthouse Life Insurance Company	301829	Agent - Health	10/27/2016
Active	Brighthouse Life Insurance Company	301829	Agent - Life	10/27/2016
Active	Clear Spring Life and Annuity Company	300919	Agent - Life	5/6/2025
Active	Columbus Life Insurance Company	301227	Agent - Life	7/11/2024
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	3/17/2025
Active	Forethought Life Insurance Company	301407	Agent - Health	11/23/2016
Active	Forethought Life Insurance Company	301407	Agent - Life	11/23/2016
Active	Guaranty Income Life Insurance Company	552451	Agent - Health	8/6/2023
Active	Guaranty Income Life Insurance Company	552451	Agent - Life	8/6/2023
Active	Integrity Life Insurance Company	301687	Agent - Life	6/24/2025
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	5/14/2025
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	5/14/2025
Active	Life Insurance Company of the Southwest	301867	Agent - Health	4/25/2024
Active	Life Insurance Company of the Southwest	301867	Agent - Life	4/25/2024
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	11/22/2021
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	11/22/2021
Active	MassMutual Ascend Life Insurance Company	300320	Agent - Life	5/6/2025
Active	Minnesota Life Insurance Company	300488	Agent - Health	2/27/2020
Active	Minnesota Life Insurance Company	300488	Agent - Life	2/27/2020
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	3/14/2025
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	3/14/2025
Active	Pacific Life Insurance Company	301848	Agent - Health	4/21/2022
Active	Pacific Life Insurance Company	301848	Agent - Life	4/21/2022
Active	Penn Insurance and Annuity Company	300712	Agent - Life	5/1/2023
Active	Penn Mutual Life Insurance Company	301394	Agent - Life	5/1/2023
Active	Principal Life Insurance Company	300129	Agent - Health	1/18/2024
Active	Principal Life Insurance Company	300129	Agent - Life	1/18/2024
Active	Principal National Life Insurance Company	301926	Agent - Health	1/18/2024
Active	Principal National Life Insurance Company	301926	Agent - Life	1/18/2024
Active	Protective Life Insurance Company	300638	Agent - Health	11/20/2022
Active	Protective Life Insurance Company	300638	Agent - Life	11/20/2022
Active	Pruco Life Insurance Company	300954	Agent - Life	11/9/2023
Active	Securian Life Insurance Company	300757	Agent - Health	10/21/2024
Inactive	Security Life of Denver Insurance Company	300648	Agent - Health	10/3/2016	7/5/2019
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	10/3/2016	7/5/2019
Active	Standard Insurance Company	300185	Agent - Health	2/4/2025
Active	Standard Insurance Company	300185	Agent - Life	9/16/2024
Active	Symetra Life Insurance Company	301691	Agent - Health	11/16/2022
Active	Symetra Life Insurance Company	301691	Agent - Life	11/16/2022
Active	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	11/30/2023
Active	Transamerica Life Insurance Company	300571	Agent - Health	9/1/2022
Active	Transamerica Life Insurance Company	300571	Agent - Life	9/1/2022
Inactive	United World Life Insurance Company	300532	Agent - Health	11/13/2023	10/22/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/31/2024	12/23/2024
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/31/2024	12/23/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Cp Risk Management Services LLC	647417	Life Settlement Broker - Not Applicable	5/20/2024