DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ellis, David P	DOIID	764858	NAIC NPN	15509769

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/2/2020		12/31/2025
Inactive	Non Resident	Agent	Health	9/27/2011	12/31/2019
* 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
Active	Colonial Penn Life Insurance Company	300491	Agent - Life	6/10/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Corporate Call Center, Inc	695480	Agent - Health
Denied	Corporate Call Center, Inc	695480	Agent - Life