DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Commission Fund 3 LLC	DOIID	908626	NAIC NPN	17619214

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/28/2022	3/31/2024
Inactive	Non Resident	Agent	Life	6/28/2022	3/31/2024
* 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	Everly Life Insurance Company	561641	Agent - Life	3/11/2016	12/28/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Emerton, David L	319947	Agent - Health	6/28/2022	3/31/2024
Inactive	Emerton, David L	319947	Agent - Life	6/28/2022	3/31/2024