DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Davis Insurance Solutions, LLC	DOIID	911538	NAIC NPN	17900490

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	4/1/2016	3/31/2022
Inactive	Resident	Agent	Health	4/1/2016	3/31/2022
* 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	American Heritage Life Insurance Company	300272	Agent - Health	4/1/2016	3/31/2022
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	4/1/2016	3/31/2022
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	4/14/2016	3/31/2022
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	4/14/2016	3/31/2022
Inactive	Dental Care Plus Inc.	301495	Agent - Health	5/24/2016	3/31/2022
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	6/6/2016	3/31/2022
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	6/6/2016	3/31/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Davis, Timothy Ray	367724	Agent - Health	4/1/2016	9/30/2020
Inactive	Davis, Timothy Ray	367724	Agent - Life	4/1/2016	9/30/2020
Inactive	Gregory, Debra Brooke	551882	Agent - Health	4/1/2016	3/31/2022
Inactive	Gregory, Debra Brooke	551882	Agent - Life	4/1/2016	3/31/2022