DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bagley, David	DOIID	774761	NAIC NPN	16514048

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/14/2012	7/31/2014
Inactive	Non Resident	Agent	Health	2/14/2012	7/31/2014
* 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	Continental American Insurance Company	301700	Agent - Health	3/19/2012	7/31/2014
Inactive	Continental American Insurance Company	301700	Agent - Life	3/19/2012	7/31/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	3/23/2012	8/22/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	3/23/2012	8/22/2014
Inactive	New York Life Insurance Company	300431	Agent - Health	3/1/2012	7/31/2014
Inactive	New York Life Insurance Company	300431	Agent - Life	3/1/2012	7/31/2014
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/26/2012	7/31/2014
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/26/2012	7/31/2014
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	5/9/2012	7/31/2014
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	5/9/2012	7/31/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/26/2012	7/31/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/26/2012	7/31/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Seabury & Smith Inc	394854	Agent - Life	6/20/2012	7/31/2014
Inactive	Seabury & Smith Inc	394854	Agent - Health	6/20/2012	7/31/2014