DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Bernhard, Dawn	DOIID	835997	NAIC NPN	17140752

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Life	3/18/2014		9/30/2025
Pending Replacement	Non Resident	Agent	Health	3/18/2014		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
Pending Replacement	Companion Life Insurance Company	300191	Agent - Health	3/23/2023
Pending Replacement	Companion Life Insurance Company	300191	Agent - Life	3/23/2023
Pending Replacement	Continental American Insurance Company	301700	Agent - Health	7/18/2016
Pending Replacement	Continental American Insurance Company	301700	Agent - Life	7/18/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	7/3/2014	7/17/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	7/3/2014	7/17/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	7/3/2014	7/17/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	7/3/2014	7/17/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Cottingham And Butler Insurance Services, LLC	533457	Agent - Life	8/5/2014
Pending Replacement	Cottingham And Butler Insurance Services, LLC	533457	Agent - Health	8/5/2014