DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Pass, David Allan	DOIID	742928	NAIC NPN	7831834

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	8/14/2014		2/29/2028
Active	Resident	Agent	Life	8/14/2014		2/29/2028
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	1/7/2016	11/19/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/7/2016	11/19/2021
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/7/2016	11/19/2021
Active	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	9/12/2014
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	9/12/2014
Active	CIGNA Health & Life Insurance Company	301783	Agent - Life	9/12/2014
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	1/7/2016	11/19/2021
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Life	1/7/2016	11/19/2021
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/18/2018
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	4/18/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Willis Towers Watson US LLC	705053	Agent - Life	3/12/2026
Active	Willis Towers Watson US LLC	705053	Agent - Health	3/12/2026