DEPARTMENT OF INSURANCE

Affiliations

Name	Farlow, Daniel Jay	DOIID	789293	NAIC NPN	16623906

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	12/8/2014	12/31/2025
Active	Non Resident	Agent	Health	12/8/2014	12/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/29/2015	11/22/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/29/2015	11/22/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	1/29/2015	11/22/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	1/29/2015	11/22/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/29/2015	11/22/2016
Inactive	Humana Insurance Company	301104	Agent - Health	1/29/2015	11/22/2016
Inactive	Humana Insurance Company	301104	Agent - Life	1/29/2015	11/22/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/29/2015	11/22/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/29/2015	11/22/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	1/29/2015	11/22/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/29/2015	11/3/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/29/2015	11/3/2015
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	2/13/2024
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	2/13/2024
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	9/10/2015	12/18/2020
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	9/10/2015	12/18/2020
Active	Starmount Life Insurance Company	628031	Agent - Health	2/13/2024
Active	UNUM Life Insurance Company of America	300817	Agent - Health	2/13/2024
Active	UNUM Life Insurance Company of America	300817	Agent - Life	2/13/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/23/2012	10/11/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/23/2012	10/11/2012
Active	Unum Insurance Company	301499	Agent - Health	2/13/2024
Active	Unum Insurance Company	301499	Agent - Life	2/13/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Custom Benefit Programs Inc	630774	Agent - Health	2/13/2024	7/17/2024
Inactive	Custom Benefit Programs Inc	630774	Agent - Life	2/13/2024	7/17/2024
Active	Marsh & Mclennan Agency LLC	716460	Agent - Health	2/5/2025
Active	Marsh & Mclennan Agency LLC	716460	Agent - Life	2/5/2025