DEPARTMENT OF INSURANCE

Affiliations

Name	Doherty, Donald A	DOIID	334919	NAIC NPN	927321

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	11/23/2021		5/31/2026
Inactive	Non Resident	Agent	Health	11/9/1993	5/31/2012
* 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	03/15/2026	05/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/11/2012	5/31/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/11/2012	5/31/2012
Inactive	EMC National Life Company	300388	Agent - Health	8/25/2003	5/21/2004
Inactive	EMC National Life Company	300388	Agent - Life	8/25/2003	5/21/2004
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/11/2012	5/31/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/11/2012	5/31/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/11/2012	5/31/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2012	5/31/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2012	5/31/2012
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	5/27/1999	5/30/2000
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	5/27/1999	5/30/2000
Inactive	Lumico Life Insurance Company	300354	Agent - Life	12/6/2022	1/19/2024
Inactive	National Travelers Life Company	300304	Agent - Health	6/14/1996	6/30/2003
Inactive	National Travelers Life Company	300304	Agent - Life	6/14/1996	6/30/2003
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	2/22/2012	5/31/2012
Active	Northwestern Mutual Life Insurance Company	300931	Agent - Life	12/1/2021
Inactive	Protective Life Insurance Company	300638	Agent - Health	11/9/1993	7/5/2007
Inactive	Protective Life Insurance Company	300638	Agent - Life	11/9/1993	7/5/2007
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	6/6/2001	12/30/2009
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	6/6/2001	12/30/2009
Inactive	Union Security Insurance Company	301844	Agent - Health	2/7/2002	5/31/2012
Inactive	Union Security Insurance Company	301844	Agent - Life	2/7/2002	5/31/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Greater Kansas Inc -000	539585	Agent - Life	10/31/2005	5/31/2012
Inactive	Willis Of Greater Kansas Inc -000	539585	Agent - Health	10/31/2005	5/31/2012