DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Field, Adam Michael	DOIID	880188	NAIC NPN	16422969

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/10/2015		4/30/2025
Active	Non Resident	Agent	Health	6/10/2015		4/30/2025
* 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
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/30/2017	6/15/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/4/2020	12/13/2022
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/30/2017	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/4/2020	12/15/2020
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/30/2017	12/8/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	1/30/2017	12/8/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Paychex Insurance Agency Inc	509469	Agent - Life
Denied	Paychex Insurance Agency Inc	509469	Agent - Health