DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, Connie Etta	DOIID	918584	NAIC NPN	5942487

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	6/16/2016	8/31/2018
Inactive	Non Resident	Agent	Life	6/16/2016	8/31/2018
* 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	Freedom Life Insurance Company of America	300074	Agent - Health	6/23/2016	4/27/2017
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	6/23/2016	4/27/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	8/28/2017	6/15/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/28/2017	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	8/28/2017	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Life	8/28/2017	6/15/2018
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	8/28/2017	6/15/2018
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	8/28/2017	6/15/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	6/24/2016	4/27/2017
Inactive	Ushealth Advisors Llc	713288	Agent - Health	6/24/2016	4/27/2017