DEPARTMENT OF INSURANCE

Affiliations

Name	Davis Jr, Michael Ray	DOIID	733140	NAIC NPN	5945137

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/26/2010	1/31/2026
Active	Non Resident	Agent	Property	8/18/2010	1/31/2026
Active	Non Resident	Agent	Health	8/18/2010	1/31/2026
Active	Non Resident	Agent	Life	7/26/2010	1/31/2026
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ARAG Insurance Company	549389	Agent - Casualty	6/28/2024
Active	All Savers Insurance Company	301940	Agent - Health	2/15/2024
Active	All Savers Insurance Company	301940	Agent - Life	2/15/2024
Inactive	American General Life Insurance Company	301585	Agent - Health	3/29/2016	4/24/2017
Inactive	American General Life Insurance Company	301585	Agent - Life	3/29/2016	4/24/2017
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	3/28/2016
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	3/28/2016
Active	American Heritage Life Insurance Company	300272	Agent - Health	9/18/2019
Active	American Heritage Life Insurance Company	300272	Agent - Life	9/18/2019
Active	American Zurich Insurance Company	300592	Agent - Casualty	3/28/2016
Active	American Zurich Insurance Company	300592	Agent - Property	3/28/2016
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/14/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Health	10/13/2010	4/15/2025
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/13/2010	4/15/2025
Active	Companion Life Insurance Company	300191	Agent - Health	5/23/2024
Active	Companion Life Insurance Company	300191	Agent - Life	5/23/2024
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/26/2016	4/10/2017
Active	Guardian Life Insurance Company of America	301316	Agent - Health	5/21/2024
Active	Guardian Life Insurance Company of America	301316	Agent - Life	5/21/2024
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/17/2010
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	2/17/2020	12/15/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	2/17/2020	12/15/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	2/17/2020	12/15/2020
Inactive	Humana Insurance Company	301104	Agent - Health	3/19/2019	4/8/2020
Inactive	Humana Insurance Company	301104	Agent - Life	3/19/2019	4/8/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/23/2019	4/8/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	3/19/2019	12/19/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	2/17/2020	12/15/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	2/17/2020	12/15/2020
Active	Independence American Insurance Company	524747	Agent - Casualty	11/7/2022
Active	Independence American Insurance Company	524747	Agent - Property	11/7/2022
Active	National Guardian Life Insurance Company	300596	Agent - Health	9/14/2015
Active	Obsidian Insurance Company	301819	Agent - Casualty	9/13/2023
Active	Obsidian Insurance Company	301819	Agent - Health	9/13/2023
Active	Obsidian Insurance Company	301819	Agent - Property	9/13/2023
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	12/20/2021
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	12/20/2021
Active	Starmount Life Insurance Company	628031	Agent - Health	12/20/2021
Active	UNUM Life Insurance Company of America	300817	Agent - Health	12/20/2021
Active	UNUM Life Insurance Company of America	300817	Agent - Life	12/20/2021
Active	United of Omaha Life Insurance Company	300156	Agent - Health	7/30/2018
Active	United of Omaha Life Insurance Company	300156	Agent - Life	7/30/2018
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/15/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	2/15/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/15/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/15/2024
Active	Unum Insurance Company	301499	Agent - Health	12/20/2021
Active	Unum Insurance Company	301499	Agent - Life	12/20/2021
Active	Zurich American Insurance Company	301121	Agent - Casualty	3/28/2016
Active	Zurich American Insurance Company	301121	Agent - Property	3/28/2016
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	3/28/2016
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	3/28/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Dental Choice Agency Inc.	398085	Agent - Health	5/2/2024
Active	Designated Agent Company Inc.	681257	Agent - Life	10/13/2010
Active	Designated Agent Company Inc.	681257	Agent - Health	10/13/2010
Denied	Gallagher Benefit Services Inc	525782	Agent - Casualty
Active	Gallagher Benefit Services Inc	525782	Agent - Life	8/31/2010
Active	Gallagher Benefit Services Inc	525782	Agent - Health	10/13/2010
Denied	Gallagher Benefit Services Inc	525782	Agent - Property