DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, William Allen	DOIID	930762	NAIC NPN	7622194

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	9/27/2023		12/31/2025
Inactive	Non Resident	Agent	Life	9/26/2016	12/31/2019
Active	Non Resident	Independent Adjuster	Property & Casualty	10/15/2021		12/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	10/15/2025	12/31/2025
Independent Adjuster	10/15/2025	12/31/2025

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	9/5/2024	11/19/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	9/20/2024	11/6/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/5/2024	11/19/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	9/5/2024	11/19/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/21/2017	12/31/2019
Inactive	American Continental Insurance Company	643130	Agent - Life	8/22/2017	12/20/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/17/2017	12/11/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/17/2017	12/11/2017
Inactive	Companion Life Insurance Company	300191	Agent - Health	2/28/2018	12/31/2019
Inactive	Companion Life Insurance Company	300191	Agent - Life	2/28/2018	12/31/2019
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	9/20/2024	11/6/2024
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	8/21/2017	12/31/2019
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/6/2017	12/19/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/6/2017	12/19/2017
Inactive	Humana Insurance Company	301104	Agent - Health	10/6/2017	12/19/2017
Inactive	Humana Insurance Company	301104	Agent - Life	10/6/2017	12/19/2017
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/6/2017	12/19/2017
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	10/6/2017	12/19/2017
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	8/10/2017	1/30/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	8/10/2017	1/30/2018
Inactive	SilverScript Insurance Company	663526	Agent - Health	9/5/2024	11/19/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/24/2017	12/18/2017
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	8/24/2017	12/18/2017
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/24/2017	12/18/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	8/17/2017	12/10/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/17/2017	12/10/2017