DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Davis, Clay Wright	DOIID	954863	NAIC NPN	18417015

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	5/30/2017		6/30/2025
Active	Resident	Agent	Health	5/30/2017		6/30/2025
* 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	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/3/2017	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/3/2017	4/15/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	6/5/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/5/2017	4/15/2025
Active	Hollandstivers Employer Solutions LLC	1073922	Agent - Health	8/13/2020
Inactive	Hollandstivers Employer Solutions LLC	1073922	Agent - Life	8/13/2020	4/15/2025
Inactive	Samsil & Holland, LLC	510802	Agent - Health	6/3/2017	4/16/2021
Inactive	Samsil & Holland, LLC	510802	Agent - Life	6/3/2017	4/16/2021