DEPARTMENT OF INSURANCE

Affiliations

Name	Bakise, David M	DOIID	696059	NAIC NPN	3184342

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	8/11/2022		12/31/2025
Active	Non Resident	Agent	Health	8/11/2022		12/31/2025
Inactive	Non Resident	Agent	Property	12/22/2008	12/31/2017
Inactive	Non Resident	Agent	Casualty	12/22/2008	12/31/2017
* 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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Accendo Insurance Company	300312	Agent - Health	6/16/2023	11/17/2023
Inactive	Accendo Insurance Company	300312	Agent - Life	6/16/2023	5/22/2024
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	8/17/2022	9/9/2024
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	6/16/2023	5/22/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/17/2022	9/9/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	8/17/2022	9/9/2024
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Casualty	2/25/2010	12/20/2010
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	2/25/2010	12/20/2010
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	2/9/2009	9/8/2010
Inactive	American Modern Select Insurance Company	581481	Agent - Property	2/9/2009	9/8/2010
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	9/26/2024	5/5/2025
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	10/11/2022	8/30/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	9/26/2024	5/5/2025
Inactive	Arcadian Health Plan, Inc.	728196	Agent - Health	6/7/2024	5/6/2025
Inactive	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	6/26/2024	1/16/2025
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	9/26/2024	5/5/2025
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	6/16/2023	5/22/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	6/16/2023	5/22/2024
Active	Devoted Health Insurance Company of Kentucky, Inc.	1306593	Agent - Health	7/5/2024
Inactive	Esurance Insurance Company	301072	Agent - Casualty	12/29/2008	6/4/2014
Inactive	Esurance Insurance Company	301072	Agent - Property	12/29/2008	6/4/2014
Inactive	Esurance Property and Casualty Insurance Company	613279	Agent - Casualty	2/6/2014	6/4/2014
Inactive	Esurance Property and Casualty Insurance Company	613279	Agent - Property	2/6/2014	6/4/2014
Inactive	First National Insurance Company of America	301690	Agent - Casualty	5/6/2009	8/24/2016
Inactive	First National Insurance Company of America	301690	Agent - Property	5/6/2009	8/24/2016
Inactive	General Insurance Company of America	300261	Agent - Casualty	5/6/2009	8/24/2016
Inactive	General Insurance Company of America	300261	Agent - Property	5/6/2009	8/24/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	4/25/2023	5/9/2024
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	6/16/2023	5/9/2024
Inactive	Humana Insurance Company	301104	Agent - Health	8/26/2024	5/6/2025
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	6/17/2024	5/6/2025
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	5/6/2009	8/24/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	5/6/2009	8/24/2016
Inactive	SilverScript Insurance Company	663526	Agent - Health	8/17/2022	9/9/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/26/2024	1/16/2025
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/15/2022	12/22/2022
Inactive	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	6/26/2024	1/16/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Esurance Ins Services Inc	709770	Agent - Property	5/28/2010	6/4/2014
Inactive	Esurance Ins Services Inc	709770	Agent - Casualty	5/28/2010	9/19/2014
Denied	Gohealth LLC	691445	Agent - Life
Inactive	Gohealth LLC	691445	Agent - Health	6/24/2024	1/17/2025