DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Daugherty, Maria M	DOIID	838688	NAIC NPN	17246759

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	4/24/2014	4/1/2022
Inactive	Resident	Agent	Life	4/24/2014	4/1/2022
* 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	10/7/2016	5/12/2017
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/26/2016	4/10/2018
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	1/22/2018	12/10/2020
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	1/22/2018	12/10/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/24/2016	12/13/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/24/2016	12/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/13/2017	4/10/2018
Inactive	Humana Insurance Company	301104	Agent - Health	4/15/2015	4/10/2018
Inactive	Humana Insurance Company	301104	Agent - Life	4/15/2015	4/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/13/2017	4/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/13/2017	4/10/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	2/24/2016	12/13/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/15/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/15/2015	10/22/2015
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	6/9/2015	10/29/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	8/21/2017	12/10/2020
Inactive	E M Ford & Co LLC	399301	Agent - Life	4/15/2015	2/11/2020
Inactive	E M Ford & Co LLC	399301	Agent - Health	4/15/2015	2/11/2020