DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Douglas Hawkins Investment, LLC	DOIID	793556	NAIC NPN	16799389

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	10/4/2012	3/31/2018
Inactive	Resident	Agent	Health	10/4/2012	3/31/2018
* 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	American Equity Investment Life Insurance Company	300389	Agent - Life	11/9/2016	3/31/2018
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	12/14/2012	8/13/2015
Inactive	Athene Annuity and Life Company	301893	Agent - Life	5/12/2017	3/31/2018
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	6/4/2015	2/12/2018
Inactive	Security Benefit Life Insurance Company	300583	Agent - Life	9/27/2013	12/28/2016
Inactive	State Life Insurance Company	301497	Agent - Health	1/18/2015	3/31/2018
Inactive	State Life Insurance Company	301497	Agent - Life	1/18/2015	3/31/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hawkins, Douglas T.	502989	Agent - Health	10/4/2012	3/31/2018
Inactive	Hawkins, Douglas T.	502989	Agent - Life	10/4/2012	3/31/2018