DEPARTMENT OF INSURANCE

Affiliations

Name	Davies, Avery Donald	DOIID	894267	NAIC NPN	17716837

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	11/5/2015	11/30/2017
Inactive	Non Resident	Agent	Life	11/5/2015	11/30/2017
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	11/13/2015	11/30/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Health	11/13/2015	11/30/2017
Inactive	Aetna Life Insurance Company	301140	Agent - Life	11/13/2015	11/30/2017
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/12/2015	5/1/2016
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/5/2015	3/20/2017
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	10/4/2016	11/7/2016
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	10/4/2016	11/7/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	11/17/2015	10/18/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/17/2015	10/18/2016
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	11/13/2015	11/30/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/24/2016	12/14/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/24/2016	12/14/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/24/2016	12/14/2016
Inactive	Humana Insurance Company	301104	Agent - Health	10/24/2016	12/14/2016
Inactive	Humana Insurance Company	301104	Agent - Life	10/24/2016	12/14/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/24/2016	12/14/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/24/2016	12/14/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/24/2016	12/14/2016
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/26/2016	12/14/2016
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	11/14/2015	11/14/2016
Inactive	Medco Containment Life Insurance Company	301557	Agent - Health	11/17/2015	11/30/2017
Inactive	SilverScript Insurance Company	663526	Agent - Health	11/16/2015	11/30/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/18/2016	12/1/2016
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	9/18/2016	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/19/2015	12/31/2015
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	9/18/2016	12/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Extend Insurance Services, LLC	625753	Agent - Life	8/28/2017	11/30/2017
Inactive	Extend Insurance Services, LLC	625753	Agent - Health	8/28/2017	11/30/2017