PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameDougherty, Philip DanDOIID769983NAIC NPN2528174
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth12/2/20113/24/2016 
InactiveNon ResidentAgentLife12/2/20113/24/2016 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCompBenefits Dental, Inc.591692Agent - Health5/25/20128/28/2013
InactiveConnecticut General Life Insurance Company301333Agent - Health1/6/20126/11/2014
InactiveConnecticut General Life Insurance Company301333Agent - Life1/6/20126/11/2014
InactiveDental Concern Inc. (The)301641Agent - Health5/25/20128/28/2013
InactiveHumana Health Plan, Inc.300142Agent - Health5/25/20128/28/2013
InactiveHumana Insurance Company301104Agent - Health5/25/20128/28/2013
InactiveHumana Insurance Company301104Agent - Life5/25/20128/28/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Health5/25/20128/28/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Life5/25/20128/28/2013
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveInsuranceToGo-Worldwide Ins Agency, Inc.770942Agent - Health12/16/20116/11/2014
InactiveInsuranceToGo-Worldwide Ins Agency, Inc.770942Agent - Life12/16/20116/11/2014

© Commonwealth of Kentucky. All rights reserved.