DEPARTMENT OF INSURANCE

Affiliations

Name	Embry, David Wayne	DOIID	772749	NAIC NPN	16490016

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	7/23/2014	9/30/2025
Active	Non Resident	Agent	Property	12/9/2016	9/30/2025
Active	Non Resident	Agent	Casualty	12/9/2016	9/30/2025
Active	Non Resident	Agent	Health	7/23/2014	9/30/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/8/2020	9/30/2025
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	7/27/2021	12/19/2023
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	7/27/2021	12/19/2023
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	1/15/2020
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	1/15/2020
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	1/15/2020
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	1/15/2020
Active	AmGUARD Insurance Company	500010	Agent - Casualty	3/14/2023
Active	AmGUARD Insurance Company	500010	Agent - Property	3/14/2023
Active	Anthem Life Insurance Company	301209	Agent - Health	5/22/2020
Active	Anthem Life Insurance Company	301209	Agent - Life	5/22/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/31/2014	3/14/2019
Inactive	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/25/2019
Inactive	Continental General Insurance Company	300691	Agent - Life	8/9/2018	1/25/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/31/2014	12/19/2019
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	1/13/2021	5/27/2024
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	1/13/2021	5/27/2024
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Health	2/3/2012	12/26/2012
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Life	2/3/2012	12/26/2012
Active	Guardian Life Insurance Company of America	301316	Agent - Health	6/4/2020
Active	Guardian Life Insurance Company of America	301316	Agent - Life	6/4/2020
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	1/15/2020
Active	Hanover American Insurance Company (The)	300447	Agent - Property	1/15/2020
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	1/15/2020
Active	Hanover Insurance Company (The)	300508	Agent - Property	1/15/2020
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	3/7/2022
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	3/7/2022
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/3/2020	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Health	6/17/2021	12/13/2022
Inactive	Humana Insurance Company	301104	Agent - Life	10/31/2014	12/19/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/17/2021	12/13/2022
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/31/2014	8/9/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/31/2014	8/9/2018
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	1/15/2020
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	1/15/2020
Active	Metropolitan Life Insurance Company	301948	Agent - Health	3/10/2016
Active	Metropolitan Life Insurance Company	301948	Agent - Life	3/10/2016
Active	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	7/26/2022
Active	Mount Vernon Fire Insurance Company	301397	Agent - Property	7/26/2022
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/2/2012	12/26/2012
Active	National Guardian Life Insurance Company	300596	Agent - Health	9/15/2021
Active	Nationwide Life Insurance Company	300495	Agent - Health	9/29/2021
Active	Nationwide Life Insurance Company	300495	Agent - Life	9/29/2021
Active	NorGUARD Insurance Company	500015	Agent - Casualty	3/14/2023
Active	Ohio Security Insurance Company	300622	Agent - Casualty	7/13/2023
Active	Ohio Security Insurance Company	300622	Agent - Property	7/13/2023
Inactive	Omaha Insurance Company	751908	Agent - Health	5/24/2012	5/22/2013
Active	Plaza Insurance Company	300748	Agent - Casualty	5/7/2023
Active	Plaza Insurance Company	300748	Agent - Property	5/7/2023
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	5/15/2019	12/16/2022
Active	United States Fire Insurance Company	582240	Agent - Casualty	6/30/2023
Active	United States Fire Insurance Company	582240	Agent - Property	6/30/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/2/2012	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/2/2012	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/25/2022	11/30/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/25/2022	11/30/2023
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/25/2022	11/30/2023
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/25/2022	11/30/2023
Active	Valley Forge Insurance Company	301052	Agent - Casualty	7/16/2023
Active	Valley Forge Insurance Company	301052	Agent - Property	7/16/2023
Active	Verlan Fire Insurance Company	517102	Agent - Casualty	1/15/2020
Active	Verlan Fire Insurance Company	517102	Agent - Property	1/15/2020
Active	Wellfleet Insurance Company	300542	Agent - Casualty	8/7/2020
Active	Wellfleet New York Insurance Company	300245	Agent - Casualty	8/7/2020
Active	Wellfleet New York Insurance Company	300245	Agent - Property	8/7/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Life	5/26/2020
Active	Designated Agent Company Inc.	681257	Agent - Health	5/26/2020
Inactive	LOCKTON AFFINITY, LLC	524069	Agent - Life	10/17/2016	5/15/2019
Inactive	LOCKTON AFFINITY, LLC	524069	Agent - Health	10/17/2016	5/15/2019
Active	Mylo LLC	973654	Agent - Life	4/6/2018
Active	Mylo LLC	973654	Agent - Health	4/6/2018
Active	Mylo LLC	973654	Agent - Property	6/10/2020
Active	Mylo LLC	973654	Agent - Casualty	6/10/2020
Active	Mylo LLC	973654	Surplus Lines Broker - Not Applicable	6/10/2020