DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, Erik	DOIID	742622	NAIC NPN	3458524

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	11/17/2010	8/31/2024
Active	Non Resident	Agent	Property	11/18/2010	8/31/2024
Active	Non Resident	Agent	Life	11/17/2010	8/31/2024
Active	Non Resident	Agent	Casualty	11/18/2010	8/31/2024
* 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	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bristol West Insurance Company	301655	Agent - Casualty	6/5/2018
Active	Bristol West Insurance Company	301655	Agent - Property	6/5/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2017	4/10/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/5/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/5/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	5/9/2013	12/28/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	5/9/2013	12/28/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	5/9/2013	12/28/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	5/9/2013	12/28/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	3/21/2017	4/10/2018
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/21/2017	2/23/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/21/2017	4/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	3/21/2017	4/10/2018
Inactive	Humana Insurance Company	301104	Agent - Life	3/21/2017	4/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	3/21/2017	4/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/21/2017	4/10/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	3/21/2017	4/10/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/21/2017	12/8/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/21/2017	12/8/2017
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	1/6/2011
Active	Travelers Indemnity Company (The)	301855	Agent - Property	1/6/2011
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/3/2010	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/3/2010	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/3/2010	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/3/2010	12/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Kibble & Prentice Holding Co	572325	Agent - Health
Denied	Kibble & Prentice Holding Co	572325	Agent - Life
Active	Kibble & Prentice Holding Co	572325	Agent - Property	1/10/2019
Active	Kibble & Prentice Holding Co	572325	Agent - Casualty	1/10/2019
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	12/21/2010	12/1/2016
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	12/21/2010	12/1/2016
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	1/6/2011	10/9/2019
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	1/6/2011	10/9/2019