DEPARTMENT OF INSURANCE

Affiliations

Name	Furnish, David Joseph	DOIID	718646	NAIC NPN	14412752

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	11/23/2009	5/31/2016
Inactive	Non Resident	Agent	Life	11/23/2009	5/31/2016
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	4/14/2015	5/31/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Health	4/14/2015	5/31/2016
Inactive	Aetna Life Insurance Company	301140	Agent - Life	4/14/2015	5/31/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	1/19/2012	5/31/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	1/19/2012	12/8/2015
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	4/14/2015	5/31/2016
Inactive	Forethought Life Insurance Company	301407	Agent - Health	1/9/2012	11/14/2014
Inactive	Forethought Life Insurance Company	301407	Agent - Life	1/9/2012	11/14/2014
Inactive	Gerber Life Insurance Company	300529	Agent - Health	11/24/2010	8/19/2011
Inactive	Gerber Life Insurance Company	300529	Agent - Life	11/24/2010	8/19/2011
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	8/9/2012	5/31/2016
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	8/9/2012	5/31/2016
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	10/13/2014	5/31/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/10/2012	5/31/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	1/19/2012	5/31/2016
Inactive	Humana Insurance Company	301104	Agent - Health	1/17/2012	5/31/2016
Inactive	Humana Insurance Company	301104	Agent - Life	1/17/2012	5/31/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	1/19/2012	5/31/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	1/19/2012	5/31/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	10/13/2014	5/31/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/25/2012	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/25/2012	10/22/2015
Inactive	Marquette National Life Insurance Company	300117	Agent - Health	12/7/2009	7/27/2011
Inactive	Marquette National Life Insurance Company	300117	Agent - Life	12/7/2009	7/27/2011
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/7/2012	4/22/2013
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Health	12/7/2009	7/27/2011
Inactive	Nassau Life Insurance Company of Kansas	300667	Agent - Life	12/7/2009	7/27/2011
Inactive	Omaha Insurance Company	751908	Agent - Health	9/18/2012	7/22/2013
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	12/7/2009	7/27/2011
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Life	12/7/2009	7/27/2011
Inactive	SILAC Insurance Company	300535	Agent - Health	3/16/2010	1/6/2011
Inactive	SILAC Insurance Company	300535	Agent - Life	3/16/2010	1/6/2011
Inactive	United Home Life Insurance Company	300421	Agent - Life	11/22/2011	10/23/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/7/2012	4/22/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/7/2012	4/22/2013

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	12/6/2013	5/31/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/6/2013	5/31/2016
Inactive	Fundamental Insurance and Retirement Planning	675147	Agent - Life	5/20/2011	11/4/2011
Inactive	Fundamental Insurance and Retirement Planning	675147	Agent - Health	5/20/2011	11/4/2011