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.

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