DEPARTMENT OF INSURANCE
Affiliations
NameDavisson, Mark RogerDOIID929157NAIC NPN18055035
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife2/11/20225/31/2022 
Pending ReplacementNon ResidentAgentHealth4/26/2023 5/31/2024
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveACE Property and Casualty Insurance Company300520Agent - Health5/1/20236/16/2024
InactiveAccendo Insurance Company300312Agent - Health11/2/20215/31/2022
Pending ReplacementAetna Health Inc. (PA)660717Agent - Health4/28/2023 
InactiveAetna Health and Life Insurance Company300523Agent - Health11/2/20215/31/2022
Pending ReplacementAetna Health of Ohio Inc.1065035Agent - Health4/28/2023 
Pending ReplacementAetna Life Insurance Company301140Agent - Health4/28/2023 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/11/20212/16/2022
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health9/24/20212/16/2022
InactiveAnthem Insurance Companies, Inc.300941Agent - Health9/24/20212/16/2022
InactiveCIGNA Health & Life Insurance Company301783Agent - Health10/30/20175/31/2020
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health4/27/20232/19/2024
InactiveCompcare Health Services Insurance Corporation948751Agent - Health9/24/20212/16/2022
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health11/2/20215/31/2022
InactiveDental Concern Inc. (The)301641Agent - Health9/21/20165/3/2017
Pending ReplacementElips Life Insurance Company301087Agent - Health5/1/2023 
InactiveGolden Rule Insurance Company301943Agent - Health11/16/20214/10/2022
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health9/21/20165/3/2017
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health9/21/20165/3/2017
InactiveHumana Health Plan, Inc.300142Agent - Health9/21/20165/3/2017
InactiveHumana Insurance Company301104Agent - Health9/20/20183/26/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Health9/21/20165/3/2017
InactiveHumana Medical Plan, Inc.801568Agent - Health9/21/20165/3/2017
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health10/12/20165/3/2017
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health3/21/201812/29/2018
Pending ReplacementMedico Insurance Company301559Agent - Health5/3/2023 
InactiveMolina Healthcare of Kentucky, Inc.1035856Agent - Health12/8/20215/31/2022
Pending ReplacementSilverScript Insurance Company663526Agent - Health4/28/2023 
InactiveUnified Life Insurance Company543169Agent - Health8/8/201712/12/2017
InactiveUnited States Fire Insurance Company582240Agent - Health5/1/202312/27/2023
InactiveUnited World Life Insurance Company300532Agent - Health6/7/20185/31/2020
InactiveUnitedHealthcare Insurance Company300946Agent - Health4/27/20232/19/2024
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/14/20212/21/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health8/14/202112/23/2021
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health4/27/20232/19/2024
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health11/20/202012/29/2021
InactiveWellCare Prescription Insurance Inc.654329Agent - Health11/20/20205/31/2022
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveDesignated Agent Company Inc.681257Agent - Health5/13/20205/31/2020
InactiveTZ Insurance Solutions LLC727470Agent - Health11/12/20184/18/2019

© Commonwealth of Kentucky. All rights reserved.